Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902697311 Individual Practitioner Male Practitioner

Javier Broche

Dentist • Kissimmee, FL

Professional Overview & Biography Verified Profile Summary

Javier Broche is a registered healthcare professional specializing in Dentist in Kissimmee, FL. Practice services are available at 3192 S JOHN YOUNG PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3192 S John Young Pkwy

Kissimmee, FL 347468814

Telephone 4078705151
Associated Practice Facility / Clinic
🏢 Omar Ata, D.d.s., Pa. Facility NPI 1447215876

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Kissimmee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Kissimmee, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-02
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN30610

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

13512 S John Young Pkwy

Orlando, FL 328377658

Phone: 4076066148

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Omar Ata , DDS

Dentist - General Practice

NPI 1144285586

Doctor of Dental Surgery

NPI 1457585242

Doctor of Dental Medicine

NPI 1699901165

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 02, 2025

Registered at 3192 S JOHN YOUNG PKWY, KISSIMMEE, FL 347468814 (Tel: 4078705151)

📍
Updated Practice Location July 07, 2025

Registered at 17365 US HIGHWAY 441, MOUNT DORA, FL 327576715 (Tel: 3522703015)

📍
Updated Business Mailing Address July 07, 2025

Registered at 1958 RIDER RAIN LN, APOPKA, FL 327038370 (Tel: 7863394039)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2025

Dentist (License #DN30610 in FL)

NPI Profile Active May 15, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2025

Registered at 601 NW 109TH AVE APT 1, MIAMI, FL 331723732 (Tel: 7863394039)

📍
Updated Business Mailing Address May 15, 2025

Registered at 601 NW 109TH AVE APT 1, MIAMI, FL 331723732

👤
Provider Name / Credentials Updated May 15, 2025

Recorded as JAVIER BROCHE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 15, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902697311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2025
Last Update: December 02, 2025
Sole Proprietor: No

Mailing Address

1958 Rider Rain Ln

Apopka, FL 327038370

Phone: 7863394039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.