Unknown Individual – General Practice Dentistry, NPI 1629091822

Unknown Individual is a healthcare provider. based in Longview, Texas. specializing in General Practice Dentistry. They hold a License No. 13300 (TX). The NPI Number for Unknown Individual is 1629091822

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629091822
Phone
(903) 757-5011
Address
444 FOREST SQ
Deactivation Date
24 July 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

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Provider Addresses for Unknown Individual

  • Baker Dental, 444, Forest Square, Longview, Gregg County, Texas, 75605, United States

    SUITE C

    LONGVIEW, TX 756054463

    Phone: (903) 757-5011

    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.

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 75605)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1629091822 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Longview, Texas for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1629091822. Always confirm identity and privileges with the practice and licensing boards.

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