Unknown Individual – Dentist, NPI 1982650396

Unknown Individual is a healthcare provider. based in Saint louis, Missouri. specializing in Dentist. They hold a License No. 009751 (MO). The NPI Number for Unknown Individual is 1982650396

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1982650396
Phone
(314) 989-0300
Address
1836 LACKLAND HILL PKWY
Deactivation Date
31 January 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

  • 1836, Lackland Hill Parkway, Ascalon, Maryland Heights, Saint Louis County, Missouri, 63146, United States

    ATTN: CREDENTIALING

    SAINT LOUIS, MO 631463572

    Phone: (314) 989-0300

    Fax: (314) 810-1399

    Type: Mailing

  • South First Capitol Drive, Saint Charles, Saint Charles County, Missouri, 63303, United States

    SAINT CHARLES, MO 633012844

    Phone: (636) 947-5000

    Fax: (636) 947-5090

    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 63146)

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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 1982650396.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Dentist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Saint Louis, Missouri because that is what the record indicates for Unknown Individual.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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