Unknown Individual – General Practice Dentistry, NPI 1962441469

General Practice Dentistry

Unknown Individual is a healthcare provider. based in O fallon, Missouri. specializing in General Practice Dentistry. They hold a License No. 11932 (MO). The NPI Number for Unknown Individual is 1962441469

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1962441469

Phone

(636) 978-9978

Address

2683 HIGHWAY K

Deactivation Date

5 July 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

Highway K, O’Fallon, Saint Charles County, Missouri, 63368, United States
O FALLON, MO 633687865
Phone: (636) 978-9978
Fax: (636) 978-9963
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 63368)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?

You can confirm Unknown Individual with NPI 1962441469; it appears in the national provider directory.

Why would Unknown Individual's listing show inactive?

Inactive in NPPES means the identifier is not currently active in that dataset.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty General Practice Dentistry. Clinical services aligned with this taxonomy classification.

Where does public data place Unknown Individual?

The snapshot lists O Fallon, Missouri for Unknown Individual; download NPPES for the complete set.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.