Unknown Individual – Pediatric Dentistry, NPI 1003963182

Unknown Individual is a healthcare provider. based in Palm beach gardens, Florida. specializing in Pediatric Dentistry. They hold a License No. DN10445 (FL). The NPI Number for Unknown Individual is 1003963182

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003963182
Phone
(561) 626-9887
Address
200 VILLAGE SQUARE XING
Deactivation Date
12 December 2024
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

Provider Addresses for Unknown Individual

  • 200 VILLAGE SQUARE XING

    SUITE 101

    PALM BEACH GARDENS, FL 334103224

    Phone: (561) 626-9887

    Fax: (561) 627-4451

    Mailing address matches the actual address.

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 33410)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1003963182 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Palm Beach Gardens, Florida for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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