Unknown Individual – Dentist, NPI 1902005655

Unknown Individual is a healthcare provider. based in Carrollton, Georgia. specializing in Dentist. They hold a License No. 11286 (GA). The NPI Number for Unknown Individual is 1902005655

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902005655
Phone
(770) 834-4847
Address
201 WEDGEWOOD DR
Deactivation Date
19 March 2026
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

  • 201, Wedgewood Drive, Carrollton, Carroll County, Georgia, 30117, United States

    CARROLLTON, GA 301174337

    Phone: (770) 834-4847

    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 30117)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1902005655.
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.
Is Unknown Individual tied to Carrollton, Georgia?
If you are local to Carrollton, Georgia, Unknown Individual may be relevant to your search.
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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