Prestige Periodontal and Implant Center – Periodontics, NPI 1063953875

Prestige Periodontal and Implant Center is a healthcare provider. based in Palm beach gardens, Florida. specializing in Periodontics. The organization holds a License No. DN18002 (FL). The NPI Number for Prestige Periodontal and Implant Center is 1063953875

Main info

Organization
Name
Prestige Periodontal and Implant Center
NPI
1063953875
Phone
(561) 693-3236
Address
11641 KEW GARDENS AVE
Authorized Official
PAWEL D FOTEK OWNER
Enumeration Date
13 March 2017
Last Update Date
13 March 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness80
Years active:9State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Prestige Periodontal and Implant Center

  • 11641, Kew Gardens Avenue, Palm Beach Gardens, Palm Beach County, Florida, 33410, United States

    SUITE 209

    PALM BEACH GARDENS, FL 334102763

    Phone: (561) 693-3236

    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.

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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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Frequently asked questions

What NPI should I save for Prestige Periodontal and Implant Center?
Save NPI 1063953875 if you need a stable reference for Prestige Periodontal and Implant Center.
Is Prestige Periodontal and Implant Center currently active in the NPI registry?
CMS-published data lists Prestige Periodontal and Implant Center as an active registrant.
What does Prestige Periodontal and Implant Center treat or focus on?
Patients typically see Prestige Periodontal and Implant Center under the specialty Periodontics. Clinical services aligned with this taxonomy classification.
Where is Prestige Periodontal and Implant Center's primary listing?
We display Palm Beach Gardens, Florida because that is what the record indicates for Prestige Periodontal and Implant Center.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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