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Phoenix Advanced Inc

General Practice Dentistry in Haines City, FL · enumerated 2006 · authorized official James Costello, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053488684

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Advanced Inc
Other name <Unavail>
Practice address 35915 Us Hwy 27, Suite 2b, Haines City, FL, 33844
Fax (863) 422-5268
Enumeration date Nov 29, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name James Costello
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Phoenix Advanced Inc?
The NPI for Phoenix Advanced Inc is 1053488684, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Phoenix Advanced Inc?
NPPES lists James Costello (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.