Unknown Individual – Oral and Maxillofacial Pathology Dentistry, NPI 1982661906

Oral and Maxillofacial Pathology Dentistry

Unknown Individual is a healthcare provider. based in Gainesville, Florida. specializing in Oral and Maxillofacial Pathology Dentistry. They hold a License No. DTP365 (FL). The NPI Number for Unknown Individual is 1982661906

Main info

Organization

Inactive

53 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1982661906

Phone

(352) 392-5178

Address

PO BOX 100405

Deactivation Date

25 December 2025

Doctor Profile

Medical School Name

WASHINGTON UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

3522735380

Graduation Year

1973 (53 years ago)

PAC ID

6406041854

Group Practice PAC ID

4981707460

Professional Enrollment ID

I20101110001164

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

PO BOX 100405
GAINESVILLE, FL 326100405
Phone: (352) 392-5178
Fax: (352) 392-3070
Type: Mailing
UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States
D4-4
GAINESVILLE, FL 326103003
Phone: (352) 273-5800
Fax: (352) 392-3070
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32610)

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Provider's Procedures

Unknown Individual performs procedures in Oral and Maxillofacial Pathology Dentistry. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
ORAL SURGERY	FL	88342	Tissue or cell analysis by immunologic technique	14	14

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4981707460View full group profile

Name	Specialty	State
DR. ANAND R PATEL (DMD, MD)	Oral Surgery, Dentist	FL
DR. ESTHER SEBUM OH (DDS, MD)	-	FL
DR. SEUNGHEE CHA (D.D.S.)	Oral Surgery	FL
DR. INDRANEEL BHATTACHARYYA (DDS)	Oral And Maxillofacial Pathology, Oral Surgery	FL
DR. MARGARETE RIBEIRO DASILVA (DDS, MS, PH.D)	Oral Surgery	FL
DR. SUMITA SUSAN SAM (DDS)	Oral And Maxillofacial Pathology	FL
DR. SARAH GRACE FITZPATRICK (D.D.S.)	Oral Surgery, Oral And Maxillofacial Pathology	FL
DR. JOY K WANG (DDS, MSD)	-	FL
DR. PAMELA REINER SANDOW (DMD)	Oral Surgery	FL
DR. JOHN HOWARD HARDEMAN (MD, DDS)	-	FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1982661906 — is the standard way to identify this listing.

Why is Unknown Individual marked inactive in the NPI directory?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What healthcare role does Unknown Individual hold?

Scheduling teams often label Unknown Individual under Oral and Maxillofacial Pathology Dentistry. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Gainesville, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.

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