Unknown Individual – General Practice Dentistry, NPI 1336103530

Unknown Individual is a healthcare provider. based in Arcadia, Florida. specializing in General Practice Dentistry. They hold a License No. 000 3755 (FL). The NPI Number for Unknown Individual is 1336103530

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336103530
Phone
(863) 494-2945
Address
803 E MAGNOLIA ST
Deactivation Date
23 April 2026
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

  • 803, East Magnolia Street, Arcadia, DeSoto County, Florida, 34266, United States

    ARCADIA, FL 342664815

    Phone: (863) 494-2945

    Fax: (863) 494-4995

    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 34266)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1336103530.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with General Practice Dentistry in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Arcadia, 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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