Unknown Individual – Dentist, NPI 1669421343

Unknown Individual is a healthcare provider. based in Eaton, Ohio. specializing in Dentist. They hold a License No. 30-011547 (OH). The NPI Number for Unknown Individual is 1669421343

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669421343
Phone
(937) 456-3627
Address
813 MARINER CV
Deactivation Date
21 June 2021
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

  • 813 MARINER CV

    EATON, OH 453202521

    Phone: (937) 456-3627

    Fax: (800) 434-7113

    Type: Mailing

  • 775, Waukegan Road, Deerfield, Illinois, 60015, United States

    SUITE 200

    DEERFIELD, IL 600154342

    Phone: (800) 317-0711

    Fax: (800) 434-7113

    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 45320)

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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 1669421343.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Dentist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Ohio?
You will see Eaton, Ohio on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1669421343. Always confirm identity and privileges with the practice and licensing boards.

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