Unknown Individual – General Practice Dentistry, NPI 1366413643

Unknown Individual is a healthcare provider. based in Coon rapids, Minnesota. specializing in General Practice Dentistry. They hold a License No. D8881 (MN). The NPI Number for Unknown Individual is 1366413643

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366413643
Phone
(763) 784-7570
Address
8960 SPRINGBROOK DR NW
Deactivation Date
22 May 2024
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

  • 8960, Springbrook Drive Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55433, United States

    SUITE 150

    COON RAPIDS, MN 554335852

    Phone: (763) 784-7570

    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.

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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 55433)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1366413643 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Coon Rapids?
Public fields place Unknown Individual around Coon Rapids, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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