Unknown Individual – General Practice Dentistry, NPI 1346354115

Unknown Individual is a healthcare provider. based in College station, Texas. specializing in General Practice Dentistry. They hold a License No. 18692 (TX). The NPI Number for Unknown Individual is 1346354115

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1346354115
Phone
(979) 696-1121
Address
2911 TEXAS AVE S STE 101
Deactivation Date
28 August 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

  • Texas Avenue South, College Station, Brazos County, Texas, 77840, United States

    COLLEGE STATION, TX 778455388

    Phone: (979) 696-1121

    Fax: (979) 696-0640

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-01-26 • Largest payer in this snapshot: Straumann USA LLC ($275).

Total Amount

$288

General + Research + Ownership

Payments

3

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 77845)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1346354115.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to College Station, Texas 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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