Unknown Individual – Dentist, NPI 1366553562

Unknown Individual is a healthcare provider. based in Mayfield hts, Ohio. specializing in Dentist. They hold a License No. 12047 (OH). The NPI Number for Unknown Individual is 1366553562

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366553562
Phone
(440) 442-6707
Address
356 THISTIE TRAIL
Deactivation Date
11 December 2025
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

  • 356 THISTIE TRAIL

    MAYFIELD HTS, OH 44124

    Phone: (440) 442-6707

    Type: Mailing

  • Euclid Office and Medical Plaza, 26300, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44132, United States

    SUITE 426

    EUCLID, OH 44132

    Phone: (216) 731-4700

    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 44124)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1366553562 if you need a stable reference for Unknown Individual.
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.
Does Unknown Individual practice in Ohio?
You will see Mayfield Hts, Ohio on file for Unknown Individual alongside any extra practice locations.
What if Mayfield Hts, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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