Unknown Individual – General Practice Dentistry, NPI 1285620971

Unknown Individual is a healthcare provider. based in Sudbury, Massachusetts. specializing in General Practice Dentistry. They hold a License No. 13378 (MA). The NPI Number for Unknown Individual is 1285620971

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285620971
Phone
(978) 443-3992
Address
57 CODJER LN
Deactivation Date
1 May 2025
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

  • 57, Codjer Lane, South Sudbury, Sudbury, Middlesex County, Massachusetts, 01705, United States

    SUDBURY, MA 017762302

    Phone: (978) 443-3992

    Fax: (978) 443-6941

    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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01776)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1285620971 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Massachusetts?
You will see Sudbury, Massachusetts on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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