Unknown Individual – General Practice Dentistry, NPI 1063585891

Unknown Individual is a healthcare provider. based in Deer park, Washington. specializing in General Practice Dentistry. They hold a License No. 5198 (WA). The NPI Number for Unknown Individual is 1063585891

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063585891
Phone
(509) 276-5289
Address
PO BOX 1041
Deactivation Date
12 December 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

  • Deer Park Post Office, 200, East San Augustine Street, Park Place, Deer Park, Harris County, Texas, 77536, United States

    DEER PARK, WA 990061041

    Phone: (509) 276-5289

    Type: Mailing

  • West Crawford Street, Deer Park, Spokane County, Washington, 99006, United States

    DEER PARK, WA 99006

    Phone: (509) 276-5289

    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.

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 99006)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1063585891 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Deer Park?
Public fields place Unknown Individual around Deer Park, Washington. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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