Unknown Individual – Dentist, NPI 1205998838

Unknown Individual is a healthcare provider. based in Anacortes, Washington. specializing in Dentist. They hold a License No. 07111 (WA). The NPI Number for Unknown Individual is 1205998838

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205998838
Phone
(360) 299-2119
Address
1004 COMMERCIAL AVE # 434
Deactivation Date
29 August 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

  • 434, Commercial Avenue, Anacortes, Skagit County, Washington, 98221, United States

    ANACORTES, WA 982214117

    Phone: (360) 299-2119

    Type: Mailing

  • Southeast Bayshore Drive, Oak Harbor, Island County, Washington, 97277, United States

    OAK HARBOR, WA 982774060

    Phone: (360) 679-2502

    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 98221)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1205998838 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Dentist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Anacortes, Washington may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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