Unknown Individual – Dental Hygienist, NPI 1104114859

Unknown Individual is a healthcare provider. based in New smyrna beach, Florida. specializing in Dental Hygienist. They hold a License No. DH 9359 (FL). The NPI Number for Unknown Individual is 1104114859

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104114859
Phone
(386) 453-0632
Address
PO BOX 855
Deactivation Date
21 July 2021
Data current as of
20 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

  • PO BOX 855

    NEW SMYRNA BEACH, FL 321700855

    Phone: (386) 453-0632

    Type: Mailing

  • 1248 STONE HARBOUR RD

    WINTER SPRINGS, FL 32708

    Phone: (386) 453-0632

    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 32170)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1104114859 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Dental Hygienist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near New Smyrna Beach, Florida may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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