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Active NPI 1104639970 Individual Practitioner Male Practitioner

Emanuel Shaddaie

Dentist • Jupiter, FL

Professional Overview & Biography Verified Profile Summary

Emanuel Shaddaie is a registered healthcare professional specializing in Dentist in Jupiter, FL. Practice services are available at 2545 MILITARY TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2545 Military Trl

Jupiter, FL 334587879

Telephone 5617868413
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jupiter, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Jupiter, FL (6414 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: 2026-07-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN31378

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 13, 2026

Registered at 2545 MILITARY TRL, JUPITER, FL 334587879 (Tel: 5617868413)

📍
Updated Business Mailing Address July 13, 2026

Registered at 3955 DESIGN CENTER DR APT 454, PALM BEACH GARDENS, FL 334104366 (Tel: 5169743297)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2026

Dentist (License #DN31378 in FL)

NPI Profile Active January 27, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2025

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611197 (Tel: 7189183422)

📍
Updated Business Mailing Address January 27, 2025

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611197

👤
Provider Name / Credentials Updated January 27, 2025

Recorded as EMANUEL SHADDAIE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 27, 2025

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: 1104639970
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2025
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3955 Design Center Dr Apt 454

Palm Beach Gardens, FL 334104366

Phone: 5169743297

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.