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

Dr. Nicholas Theodore Funyak, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962154849

Dr. Nicholas Theodore Funyak, DDS is a Student in an Organized Health Care Education/Training Program in Jupiter, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
Specialties on file
2
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

4425 Military Trl
Jupiter, FL 33458-4819
Phone: (561) 748-5099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN28296 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962154849
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 22, 2022
Last updated in NPPESFebruary 2, 2025
Certification dateFebruary 2, 2025
Mailing address5261 Beckman Ter, Palm Beach Gardens, FL 33418-6235

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