Unknown Individual – General Practice Dentistry, NPI 1407917834

Unknown Individual is a healthcare provider. based in Villa park, Illinois. specializing in General Practice Dentistry. They hold a License No. 19013118 (IL). The NPI Number for Unknown Individual is 1407917834

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407917834
Phone
(630) 834-8543
Address
321 E ST CHARLES RD
Deactivation Date
20 April 2022
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

  • 321, East Saint Charles Road, Villa Park, DuPage County, Illinois, 60181, United States

    SUITE B

    VILLA PARK, IL 60181

    Phone: (630) 834-8543

    Fax: (630) 834-0097

    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 60181)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1407917834; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Villa Park, Illinois for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1407917834. Always confirm identity and privileges with the practice and licensing boards.

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