Unknown Individual – General Practice Dentistry, NPI 1629172754

Unknown Individual is a healthcare provider. based in Maumee, Ohio. specializing in General Practice Dentistry. They hold a License No. OH14938 (OH). The NPI Number for Unknown Individual is 1629172754

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629172754
Phone
(419) 887-0275
Address
1655 HOLLAND ROAD
Deactivation Date
17 May 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

  • Holland Road, Maumee, Lucas County, Ohio, 43537, United States

    SUITE A

    MAUMEE, OH 435371656

    Phone: (419) 887-0275

    Fax: (419) 887-0276

    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 43537)

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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 1629172754 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 healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Maumee, Ohio may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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