Unknown Individual – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1396767489

Unknown Individual is a healthcare provider. based in Plantation, Florida. specializing in Orthodontics and Dentofacial Orthopedics Dentistry. They hold a License No. 4590 (FL). The NPI Number for Unknown Individual is 1396767489

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396767489
Phone
(954) 791-6510
Address
7420 N.W. 5 ST.
Deactivation Date
8 April 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

Provider Addresses for Unknown Individual

  • 7420 N.W. 5 ST.

    SUITE 108

    PLANTATION, FL 33317

    Phone: (954) 791-6510

    Fax: (954) 791-6510

    Type: Mailing

  • 7420 N.W. 5TH ST.

    SUITE 108

    FORT LAUDERDALE, FL 33317

    Phone: (954) 791-6510

    Fax: (954) 791-6510

    Type: Location

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.

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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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33317)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1396767489 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Orthodontics and Dentofacial Orthopedics Dentistry. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Plantation, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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