Unknown Individual – General Practice Dentistry, NPI 1396768156

Unknown Individual is a healthcare provider. based in Puyallup, Washington. specializing in General Practice Dentistry. They hold a License No. 3371 (WA). The NPI Number for Unknown Individual is 1396768156

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396768156
Phone
(253) 845-7911
Address
604 S MERIDIAN
Deactivation Date
27 September 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

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Provider Addresses for Unknown Individual

  • 604, South Meridian, Village Fair Shopping Center, Puyallup, Pierce County, Washington, 98371, United States

    PUYALLUP, WA 983715998

    Phone: (253) 845-7911

    Fax: (253) 845-1475

    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 98371)

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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 1396768156.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Puyallup, Washington for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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