Unknown Individual – General Practice Dentistry, NPI 1265462717

Unknown Individual is a healthcare provider. based in New port richey, Florida. specializing in General Practice Dentistry. They hold a License No. DN 7421 (FL). The NPI Number for Unknown Individual is 1265462717

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265462717
Phone
(727) 847-5360
Address
5636 GRAND BLVD
Deactivation Date
22 January 2021
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

  • 5636, Grand Boulevard, New Port Richey, Pasco County, Florida, 34652, United States

    NEW PORT RICHEY, FL 346523875

    Phone: (727) 847-5360

    Fax: (727) 842-2474

    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 34652)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1265462717?
NPI 1265462717 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use New Port Richey, 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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