Unknown Individual – General Practice Dentistry, NPI 1720081185

Unknown Individual is a healthcare provider. based in Deland, Florida. specializing in General Practice Dentistry. They hold a License No. DN12696 (FL). The NPI Number for Unknown Individual is 1720081185

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720081185
Phone
(407) 459-2742
Address
PO BOX 2834
Deactivation Date
27 October 2022
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

  • PO BOX 2834

    DELAND, FL 327212834

    Phone: (407) 459-2742

    Type: Mailing

  • 6641, South Dixie Highway, Miami-Dade County, Florida, 33143, United States

    MIAMI, FL 331437919

    Phone: (305) 667-0306

    Fax: (305) 667-0368

    Type: Mailing

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 32721)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1720081185 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Deland, Florida in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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