Unknown Individual – General Practice Dentistry, NPI 1730183476

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in General Practice Dentistry. They hold a License No. 7460 (TX). The NPI Number for Unknown Individual is 1730183476

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730183476
Phone
(806) 792-3311
Address
4415 66TH ST
Deactivation Date
16 April 2026
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

  • 4415, 66th Street, Lubbock, Texas, 79414, United States

    STE 112

    LUBBOCK, TX 794144811

    Phone: (806) 792-3311

    Fax: (806) 792-2347

    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 79414)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1730183476 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Lubbock, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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