Unknown Individual – Oral and Maxillofacial Pathology Dentistry, NPI 1114967205

Unknown Individual is a healthcare provider. based in Barrington, Illinois. specializing in Oral and Maxillofacial Pathology Dentistry. The NPI Number for Unknown Individual is 1114967205

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114967205
Phone
(847) 381-0106
Address
303 N NORTHWEST HWY
Deactivation Date
13 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 303, North Northwest Highway, Barrington, Illinois, 60010, United States

    BARRINGTON, IL 600103396

    Phone: (847) 381-0106

    Fax: (847) 381-0265

    Type: Location

  • 2408, Fox Meadow Lane, Northfield, Northfield Township, Cook County, Illinois, 60093, United States

    NORTHFIELD, IL 600934303

    Phone: (847) 446-5956

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $214.

Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Ultradent Products Inc ($214).

Total Amount

$214

General + Research + Ownership

Payments

3

Total payment records

General Amount

$214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ultradent Products Inc$214
View all Open Payments →|Open Payments Risk Radar →

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 60010)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1114967205 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
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.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Barrington, Illinois; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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