Unknown Individual – General Practice Dentistry, NPI 1992764930

Unknown Individual is a healthcare provider. based in Clewiston, Florida. specializing in General Practice Dentistry. They hold a License No. DN13771 (FL). The NPI Number for Unknown Individual is 1992764930

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992764930
Phone
(863) 983-7813
Address
315 S W C OWENS AVE
Deactivation Date
28 December 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

Provider Addresses for Unknown Individual

  • 315 S W C OWENS AVE

    CLEWISTON, FL 334403637

    Phone: (863) 983-7813

    Fax: (863) 983-9604

    Type: Location

  • 5827, Corporate Way, West Palm Beach, Palm Beach County, Florida, 33407, United States

    WEST PALM BEACH, FL 334072000

    Phone: (561) 844-9443

    Fax: (561) 472-9692

    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.

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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 33440)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1992764930 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects General Practice Dentistry for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Clewiston, Florida on file for Unknown Individual alongside any extra practice locations.
What if Clewiston, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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