Unknown Individual – General Practice Dentistry, NPI 1821091729

Unknown Individual is a healthcare provider. based in Lake oswego, Oregon. specializing in General Practice Dentistry. They hold a License No. 3288 (OR). The NPI Number for Unknown Individual is 1821091729

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821091729
Phone
Not provided
Address
1197 SUNNINGDALE CT
Deactivation Date
1 April 2022
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

  • 1197, Sunningdale Court, Forest Hills, Forest Hills - First Addition, Lake Oswego, Metro, Clackamas County, Oregon, 97034, United States of America

    LAKE OSWEGO, OR 970341733

    Phone:

    Type: Mailing

  • 16455, Boones Ferry Road, Lake Grove, Jean, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States of America

    LAKE OSWEGO, OR 970354207

    Phone: (503) 636-3641

    Fax: (503) 636-8159

    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 97034)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1821091729 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Lake Oswego, Oregon in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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