Unknown Individual – Dentist, NPI 1124120324

Unknown Individual is a healthcare provider. based in Savannah, Georgia. specializing in Dentist. They hold a License No. 7781 (GA). The NPI Number for Unknown Individual is 1124120324

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124120324
Phone
(912) 527-1085
Address
106 E BROAD ST
Deactivation Date
19 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 106, East Broad Street, Savannah Historic District, Savannah, Chatham County, Georgia, 31401, United States

    SAVANNAH, GA 314012917

    Phone: (912) 527-1085

    Fax: (912) 527-1126

    Type: Location

  • 2705, Wildwood Drive, Brunswick, Glynn County, Georgia, 31520, United States

    BRUNSWICK, GA 315204346

    Phone: (912) 264-0946

    Fax: (912) 265-5220

    Type: Mailing

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.

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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 31401)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1124120324 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Dentist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Savannah, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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