Unknown Individual – General Practice Dentistry, NPI 1215042262

Unknown Individual is a healthcare provider. based in Gulf breeze, Florida. specializing in General Practice Dentistry. They hold a License No. DN 10228 (FL). The NPI Number for Unknown Individual is 1215042262

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215042262
Phone
(850) 934-8222
Address
1371 COUNTRY CLUB RD
Deactivation Date
25 November 2020
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

Provider Addresses for Unknown Individual

  • 1371 COUNTRY CLUB RD

    GULF BREEZE, FL 325633451

    Phone: (850) 934-8222

    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 32563)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1215042262 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Gulf Breeze, Florida as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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