Unknown Individual – General Practice Dentistry, NPI 1730103169

Unknown Individual is a healthcare provider. based in Lawrence, Massachusetts. specializing in General Practice Dentistry. They hold a License No. 11862 (MA). The NPI Number for Unknown Individual is 1730103169

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730103169
Phone
(978) 685-7011
Address
130 PARKER ST
Deactivation Date
2 April 2026
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

  • 130, Parker Street, South Lawrence, Lawrence, Essex County, Massachusetts, 01843, United States

    #32

    LAWRENCE, MA 01843

    Phone: (978) 685-7011

    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 01843)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1730103169 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects General Practice Dentistry for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Lawrence, Massachusetts for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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