Unknown Individual – General Practice Dentistry, NPI 1194815548

Unknown Individual is a healthcare provider. based in Lynwood, Washington. specializing in General Practice Dentistry. They hold a License No. 6020 (WA). The NPI Number for Unknown Individual is 1194815548

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194815548
Phone
(425) 776-2126
Address
19320 40TH AVE W
Deactivation Date
29 November 2023
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

Provider Addresses for Unknown Individual

  • 19320 40TH AVE W

    SUITE A

    LYNWOOD, WA 98036

    Phone: (425) 776-2126

    Fax: (425) 670-8177

    Type: Location

  • 15920, 67th Drive Southeast, Silver Firs, Snohomish County, Washington, 98296, United States

    SNOHOMISH, WA 98296

    Phone: (425) 776-2126

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98036)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1194815548.
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.
What location metadata exists for Unknown Individual?
The page summarizes Lynwood, Washington for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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