Unknown Individual – General Practice Dentistry, NPI 1366536591

Unknown Individual is a healthcare provider. based in West roxbury, Massachusetts. specializing in General Practice Dentistry. They hold a License No. 14895 (MA). The NPI Number for Unknown Individual is 1366536591

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366536591
Phone
(617) 325-3700
Address
1852 CENTRE ST
Deactivation Date
30 April 2021
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

  • Centre Street, Bellevue, West Roxbury, Boston, Suffolk County, Massachusetts, 02132, United States

    WEST ROXBURY, MA 021321901

    Phone: (617) 325-3700

    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 02132)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1366536591.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in West Roxbury, Massachusetts?
For routing, start with West Roxbury, Massachusetts for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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