Unknown Individual – Dentist, NPI 1720052046

Unknown Individual is a healthcare provider. based in Ypsilanti, Michigan. specializing in Dentist. They hold a License No. 2901008690 (MI). The NPI Number for Unknown Individual is 1720052046

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720052046
Phone
(734) 547-0277
Address
1991 RIDGEVIEW
Deactivation Date
25 October 2023
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

  • 1991 RIDGEVIEW

    YPSILANTI, MI 481989515

    Phone: (734) 547-0277

    Type: Mailing

  • 20302, Eureka Road, Taylor, Wayne County, Michigan, 48180, United States

    SUITE A

    TAYLOR, MI 481805310

    Phone: (734) 283-5757

    Fax: (734) 283-5863

    Type: Location

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 48198)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1720052046.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Dentist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Ypsilanti, Michigan for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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