Unknown Individual – General Practice Dentistry, NPI 1588877922

Unknown Individual is a healthcare provider. based in Chehalis, Washington. specializing in General Practice Dentistry. They hold a License No. 4710 (WA). The NPI Number for Unknown Individual is 1588877922

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1588877922
Phone
(360) 748-6468
Address
135 CAMELLIA LN
Deactivation Date
23 September 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

  • 135 CAMELLIA LN

    CHEHALIS, WA 985329542

    Phone: (360) 748-6468

    Fax: (360) 786-8490

    Type: Mailing

  • 100, Dennis Street Southwest, Tumwater, Thurston County, Washington, 98501, United States

    SUITE G

    TUMWATER, WA 985016523

    Phone: (360) 786-9354

    Fax: (360) 786-8490

    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.

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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 98532)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1588877922.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Chehalis, Washington?
If you are local to Chehalis, Washington, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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