Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487776712 Individual Practitioner Male Practitioner

Dr. Gary S Kodish , DDS

Dentist - General Practice • Boynton Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Gary Kodish, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boynton Beach, FL. Practice services are available at 11536 PALLAS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11536 Pallas Dr

Boynton Beach, FL 334376427

Telephone 9545544480

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boynton Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
65 Specialists

Practicing in Boynton Beach, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 8205

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Fed Tax Id
592018927 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 26, 2026

Registered at 11536 PALLAS DR, BOYNTON BEACH, FL 334376427 (Tel: 9545544480)

📍
Updated Business Mailing Address June 26, 2026

Registered at 11536 PALLAS DR, BOYNTON BEACH, FL 334376427 (Tel: 9545544480)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 301 SE 16TH ST, FORT LAUDERDALE, FL 333162505 (Tel: 9544625252)

📍
Updated Business Mailing Address July 08, 2007

Registered at 301 SE 16TH ST, FORT LAUDERDALE, FL 333162505 (Tel: 9544625252)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY KODISH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8205 in FL)

🟢
Initial NPI Registration & Enumeration April 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487776712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2007
Last Update: June 26, 2026
Sole Proprietor: Yes

Mailing Address

11536 Pallas Dr

Boynton Beach, FL 334376427

Phone: 9545544480

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.