Unknown Individual – General Practice Dentistry, NPI 1275648404

Unknown Individual is a healthcare provider. based in Acworth, Georgia. specializing in General Practice Dentistry. They hold a License No. 10385 (GA). The NPI Number for Unknown Individual is 1275648404

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275648404
Phone
(770) 295-9131
Address
7556 ISLAND MILL RD SE
Deactivation Date
4 December 2020
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

  • 7556 ISLAND MILL RD SE

    ACWORTH, GA 301022651

    Phone: (770) 295-9131

    Fax: (770) 429-1610

    Type: Mailing

  • 2430, Powell Place Northwest, Kennesaw, Cobb County, Georgia, 30144, United States

    KENNESAW, GA 301443567

    Phone: (770) 424-1705

    Fax: (770) 429-1610

    Type: Location

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.

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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 30102)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1275648404?
NPI 1275648404 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Acworth?
Public fields place Unknown Individual around Acworth, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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