Unknown Individual – General Practice Dentistry, NPI 1720055916

Unknown Individual is a healthcare provider. based in Chesterfield, Missouri. specializing in General Practice Dentistry. They hold a License No. 011154 (MO). The NPI Number for Unknown Individual is 1720055916

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720055916
Phone
(314) 576-0088
Address
14377 WOODLAKE DR
Deactivation Date
12 October 2022
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

  • Woodlake, Chesterfield County, Virginia, 23112, United States

    SUITE # 205

    CHESTERFIELD, MO 630175735

    Phone: (314) 576-0088

    Fax: (314) 576-0529

    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 63017)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1720055916 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Chesterfield, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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