Unknown Individual – General Practice Dentistry, NPI 1134139686

Unknown Individual is a healthcare provider. based in College station, Texas. specializing in General Practice Dentistry. They hold a License No. 9822 (TX). The NPI Number for Unknown Individual is 1134139686

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1134139686
Phone
(979) 485-8500
Address
1817 BROTHERS BLVD STE B
Deactivation Date
23 October 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

Provider Addresses for Unknown Individual

  • 1817 BROTHERS BLVD STE B

    COLLEGE STATION, TX 778455477

    Phone: (979) 485-8500

    Fax: (979) 485-0743

    Mailing address matches the actual address.

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.

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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 77845)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1134139686 uniquely identifies Unknown Individual in U.S. healthcare data.
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 services align with Unknown Individual's listing?
Unknown Individual's public classification highlights General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to College Station, Texas?
If you are local to College Station, Texas, 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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