Unknown Individual – Dentist, NPI 1376613612
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
South University Drive, Pembroke Pines, Broward County, Florida, 33024, United States
PEMBROKE PINES, FL 330252234
Phone: (954) 431-0004
Type: Location
1830, Northeast 198th Terrace, Presidential Estates, Miami, Miami-Dade County, Florida, 33179, United States
MIAMI, FL 331793141
Phone: (305) 932-9749
Type: Mailing
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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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 33025)
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