Unknown Individual – Oral and Maxillofacial Pathology Dentistry, NPI 1679565121

Unknown Individual is a healthcare provider. based in Anchorage, Alaska. specializing in Oral and Maxillofacial Pathology Dentistry. They hold a License No. 614 (AK). The NPI Number for Unknown Individual is 1679565121

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679565121
Phone
(907) 278-5678
Address
1200 AIRPORT HEIGHTS DR
Deactivation Date
16 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1200, Airport Heights Drive, Anchorage, Alaska, 99508, United States

    SUITE 265

    ANCHORAGE, AK 995082965

    Phone: (907) 278-5678

    Fax: (907) 258-4170

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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 99508)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1679565121.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Oral and Maxillofacial Pathology Dentistry. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Anchorage, Alaska as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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