Unknown Individual – Pediatric Dentistry, NPI 1114961802

Unknown Individual is a healthcare provider. based in Plymouth meeting, Pennsylvania. specializing in Pediatric Dentistry. They hold a License No. DS011757L (PA). The NPI Number for Unknown Individual is 1114961802

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114961802
Phone
(215) 427-5082
Address
600 APACHE LN
Deactivation Date
17 January 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

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Provider Addresses for Unknown Individual

  • 600 APACHE LN

    PLYMOUTH MEETING, PA 194622306

    Phone: (215) 427-5082

    Fax: (215) 427-8440

    Type: Mailing

  • Saint Christopher's Hospital for Children, 160, East Erie Avenue, Franklinville, Philadelphia, Philadelphia County, Pennsylvania, 19134, United States

    ERIE AVE AT FRONT STREET

    PHILADELPHIA, PA 19134

    Phone: (215) 427-5082

    Fax: (215) 427-8440

    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.

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 19462)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1114961802.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Pediatric Dentistry in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Plymouth Meeting, Pennsylvania?
If you are local to Plymouth Meeting, Pennsylvania, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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