Unknown Individual – Dentist, NPI 1285628453

Unknown Individual is a healthcare provider. based in Wadsworth, Ohio. specializing in Dentist. They hold a License No. 30016424 (OH). The NPI Number for Unknown Individual is 1285628453

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285628453
Phone
(330) 239-2388
Address
563 SHARON COPLEY RD
Deactivation Date
4 January 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

  • 563 SHARON COPLEY RD

    WADSWORTH, OH 442819716

    Phone: (330) 239-2388

    Type: Mailing

  • 3487, Center Road, Brunswick, Medina County, Ohio, 44212, United States

    SUITE 8

    BRUNSWICK, OH 442123624

    Phone: (330) 273-1600

    Fax: (330) 225-7687

    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 44281)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1285628453?
NPI 1285628453 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Dentist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Wadsworth?
Public fields place Unknown Individual around Wadsworth, Ohio. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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