Unknown Individual – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1780642991

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Orthodontics and Dentofacial Orthopedics Dentistry. They hold a License No. 30.010761 (OH). The NPI Number for Unknown Individual is 1780642991

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780642991
Phone
(513) 671-6722
Address
12105 SHERATON LANE
Deactivation Date
12 December 2024
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

Provider Addresses for Unknown Individual

  • 12105 SHERATON LANE

    CINCINNATI, OH 45246

    Phone: (513) 671-6722

    Type: Mailing

  • 12105 SHERATON LN

    CINCINNATI, OH 452461613

    Phone: (513) 671-6722

    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.

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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.

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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 45246)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1780642991.
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 is Unknown Individual's primary classification?
Orthodontics and Dentofacial Orthopedics Dentistry is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Cincinnati, Ohio as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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