Unknown Individual – General Practice Dentistry, NPI 1306860572

Unknown Individual is a healthcare provider. based in Keller, Texas. specializing in General Practice Dentistry. They hold a License No. 18271 (TX). The NPI Number for Unknown Individual is 1306860572

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306860572
Phone
Not provided
Address
704 HIDDEN WOODS DR
Deactivation Date
5 August 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

  • 704, Hidden Woods Drive, Keller, Tarrant County, Texas, 76248, United States

    KELLER, TX 762485458

    Phone:

    Type: Mailing

  • 2230, West Walnut Hill Lane, Irving, Dallas County, Texas, 75038, United States

    IRVING, TX 750384409

    Phone: (972) 261-1166

    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 76248)

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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 1306860572; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects General Practice Dentistry for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Keller, Texas because that is what the record indicates for Unknown Individual.
What if Keller, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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