NICOLAS C. DEFABRIQUE (DMD) – General Practice Dentistry, NPI 1073606596

NICOLAS C. DEFABRIQUE (DMD) is a healthcare provider. based in Palm beach gardens, Florida. specializing in General Practice Dentistry. They hold the professional credentials DMD. They hold a License No. DN 15642 (FL). The NPI Number for NICOLAS C. DEFABRIQUE (DMD) is 1073606596

Main info

Male
Sole Proprietor
Name
NICOLAS C. DEFABRIQUE (DMD)
NPI
1073606596
Phone
(541) 624-5801
Address
2401 PGA BLVD.
Enumeration Date
2 October 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for NICOLAS C. DEFABRIQUE (DMD)

  • 2401, PGA Boulevard, Palm Beach Gardens, Palm Beach County, Florida, 33410, United States

    SUITE 276

    PALM BEACH GARDENS, FL 33410

    Phone: (541) 624-5801

    Fax: (561) 624-7976

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $479.

Total Amount is formed as General ($479) + Research ($0) + Ownership ($0) = $479.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Ultradent Products Inc ($175).

Total Amount

$479

General + Research + Ownership

Payments

11

Total payment records

General Amount

$479

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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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 is NICOLAS C. DEFABRIQUE (DMD)'s NPI number?
NICOLAS C. DEFABRIQUE (DMD)'s NPI is 1073606596 — the number used across U.S. healthcare to identify this provider.
Would NICOLAS C. DEFABRIQUE (DMD) appear as active to a payer?
You can treat NICOLAS C. DEFABRIQUE (DMD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for NICOLAS C. DEFABRIQUE (DMD)?
At a glance, NICOLAS C. DEFABRIQUE (DMD) is tied to General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is NICOLAS C. DEFABRIQUE (DMD) located near Palm Beach Gardens?
NICOLAS C. DEFABRIQUE (DMD) currently maps to Palm Beach Gardens, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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