Unknown Individual – General Practice Dentistry, NPI 1073592697

Unknown Individual is a healthcare provider. based in Edmond, Oklahoma. specializing in General Practice Dentistry. They hold a License No. 2789 (OK). The NPI Number for Unknown Individual is 1073592697

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073592697
Phone
(405) 348-8779
Address
4075 SAINT CROIX DR
Deactivation Date
12 June 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

  • Chemin de la Croix Grizard, Réparet, Saint-Edmond, Charolles, Saône-et-Loire, Bourgogne – Franche-Comté, Metropolitan France, 71740, France

    EDMOND, OK 730039123

    Phone: (405) 348-8779

    Fax: (405) 348-8779

    Type: Mailing

  • U.S. Army Artillery Museum, Randolph Road, Grenade Crossing, Lawton, Comanche County, Oklahoma, 73503, United States

    COWAN DENTAL CLINIC BLDG 605

    FT. SILL, OK 73503

    Phone: (580) 442-5925

    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 73003)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1073592697; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Oklahoma?
You will see Edmond, Oklahoma on file for Unknown Individual alongside any extra practice locations.
What if Edmond, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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