Unknown Individual – Dentist, NPI 1376563312

Unknown Individual is a healthcare provider. based in Ypsilanti, Michigan. specializing in Dentist. They hold a License No. 2901012228 (MI). The NPI Number for Unknown Individual is 1376563312

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376563312
Phone
(734) 484-4710
Address
1747 E MICHIGAN AVE
Deactivation Date
4 December 2020
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

  • 1747, East Michigan Avenue, Charter Township of Ypsilanti, Washtenaw County, Michigan, 48198, United States

    YPSILANTI, MI 481986069

    Phone: (734) 484-4710

    Fax: (734) 484-4711

    Type: Location

  • 755, Green Road, Ann Arbor, Washtenaw County, Michigan, 48105, United States

    ANN ARBOR, MI 481053003

    Phone: (734) 662-4173

    Fax: (734) 662-4173

    Type: Mailing

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

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.

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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 48198)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1376563312.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Dentist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Ypsilanti, Michigan?
If you are local to Ypsilanti, Michigan, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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