Unknown Individual – Pediatric Dentistry, NPI 1184822629

Unknown Individual is a healthcare provider. based in Brandon, Florida. specializing in Pediatric Dentistry. They hold a License No. DN14795 (FL). The NPI Number for Unknown Individual is 1184822629

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184822629
Phone
(813) 685-0804
Address
517 CORNER DR
Deactivation Date
29 April 2023
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

  • 517, Corner Drive, Brandon, Hillsborough County, Florida, 33511, United States

    BRANDON, FL 335115718

    Phone: (813) 685-0804

    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 33511)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1184822629 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.
Where does public data place Unknown Individual?
The snapshot lists Brandon, Florida for Unknown Individual; download NPPES for the complete set.
What if Brandon, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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