Unknown Individual – General Practice Dentistry, NPI 1669547162

Unknown Individual is a healthcare provider. based in Danville, Illinois. specializing in General Practice Dentistry. They hold a License No. 19A16411 (IL). The NPI Number for Unknown Individual is 1669547162

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669547162
Phone
(217) 443-5170
Address
712 W FAIRCHILD ST
Deactivation Date
4 February 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

  • 712, West Fairchild Street, Wyton, Danville, Vermilion County, Illinois, 61832, United States

    DANVILLE, IL 618323753

    Phone: (217) 443-5170

    Fax: (217) 443-5335

    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 61832)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1669547162.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Danville, Illinois as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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