Unknown Individual – General Practice Dentistry, NPI 1124152731

Unknown Individual is a healthcare provider. based in Athens, Texas. specializing in General Practice Dentistry. They hold a License No. 7247 (TX). The NPI Number for Unknown Individual is 1124152731

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124152731
Phone
(903) 675-4124
Address
PO BOX 789
Deactivation Date
4 September 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

  • PO BOX 789

    ATHENS, TX 757510789

    Phone: (903) 675-4124

    Fax: (903) 677-2852

    Type: Mailing

  • 710 LUCAS DR

    ATHENS, TX 757513434

    Phone: (903) 675-4124

    Fax: (903) 677-2852

    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 75751)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1124152731 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Athens?
Public fields place Unknown Individual around Athens, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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