Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Ceballos Cordero, DDS

Individual provider Dentist · NPI 1457926552

Dr. Jacqueline Ceballos Cordero, DDS is a Dentist in West Palm Beach, Florida. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

956 S Military Trl
West Palm Beach, FL 33415-3910
Phone: (561) 677-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN25822 (FL)

Record details

NPI number1457926552
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 21, 2021
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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