Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326798976 Individual Practitioner Male Practitioner

Dr. Kevin Shan , DMD

Dentist - General Practice • Sanford, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Shan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Sanford, FL. Practice services are available at 4730 W STATE ROAD 46 STE 1220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4730 W State Road 46 Ste 1220

Sanford, FL 327719343

Telephone 4077083145
Associated Practice Facility / Clinic
🏢 Dentists Of Sanford Pa Facility NPI 1801455787

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sanford, FL

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

Practicing in Sanford, 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

CMS Verified: 2024-04-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN27074

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.

Secondary Practice Locations

17365 Us Highway 441

Mount Dora, FL 327576715

Phone: 3522703015

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1801572755

Doctor of Dental Surgery

NPI 1912644659

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address April 10, 2024

Registered at 17365 US HIGHWAY 441, MOUNT DORA, FL 327576715

📍
Updated Practice Location March 09, 2024

Registered at 4730 W STATE ROAD 46 STE 1220, SANFORD, FL 327719343 (Tel: 4077083145)

📍
Updated Practice Location June 16, 2022

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

📍
Updated Business Mailing Address June 16, 2022

Registered at 101 S EOLA DR UNIT 1112, ORLANDO, FL 328016612

👤
Provider Name / Credentials Updated June 16, 2022

Recorded as KEVIN SHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2022

Dentist (License #DN27074 in FL)

NPI Profile Active March 26, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2022

Registered at 11921 SARADRIENNE LN, BONITA SPRINGS, FL 341355911 (Tel: 2393442322)

📍
Updated Business Mailing Address March 26, 2022

Registered at 1132 SW 11TH AVE, GAINESVILLE, FL 326017841

👤
Provider Name / Credentials Updated March 26, 2022

Recorded as KEVIN SHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kevin Shan. Be the first to share your experience!

Sign in to leave a review for Dr. Kevin Shan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1326798976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2022
Last Update: April 10, 2024
Sole Proprietor: No

Mailing Address

17365 Us Highway 441

Mount Dora, FL 327576715

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.