Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649796293 Individual Practitioner Male Practitioner

Dr. Jim Van , DDS

Dentist - General Practice • Saint Cloud, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jim Van, DDS is a registered healthcare professional specializing in Dentist - General Practice in Saint Cloud, FL. Practice services are available at 2050 OLD HICKORY TREE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2050 Old Hickory Tree Rd

Saint Cloud, FL 347728926

Telephone 4075563696
Associated Practice Facility / Clinic
🏢 St. Cloud Eye Care Facility NPI 1093035032

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Cloud, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Saint Cloud, FL (7473 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN23005

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1144459215

Doctor of Optometry

Dr. Jennifer Van , DMD

Dentist - General Practice

NPI 1346447828

Doctor of Dental Medicine

NPI 1528251907

Doctor of Optometry

Dr. Catherine Ball , DMD

Dentist - General Practice

NPI 1528371366

Doctor of Dental Medicine

NPI 1982043451

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2017

Registered at 2050 OLD HICKORY TREE RD, SAINT CLOUD, FL 347728926 (Tel: 4075563696)

📍
Updated Business Mailing Address August 17, 2017

Registered at 2704 CYPRESSWAY CT, ORLANDO, FL 328258563

👤
Provider Name / Credentials Updated August 17, 2017

Recorded as JIM VAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Dentist (License #DN23005 in FL)

🟢
Initial NPI Registration & Enumeration August 16, 2017

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: 1649796293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2017
Last Update: August 17, 2017
Sole Proprietor: No

Mailing Address

2704 Cypressway Ct

Orlando, FL 328258563

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.