Unknown Individual – Periodontics, NPI 1194872218
Periodontics
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
112, Sims Creek Court, Jupiter, Palm Beach County, Florida, 33458, United States
JUPITER, FL 334587983
Phone: (561) 743-6850
Fax: (561) 743-6475
Type: Mailing
20th Street, Vero Beach, Indian River County, Florida, 32960, United States
#292
VERO BEACH, FL 329661012
Phone: (772) 778-5773
Fax: (772) 778-6944
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33458)
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