Unknown Individual – General Practice Dentistry, NPI 1861497729

Unknown Individual is a healthcare provider. based in Bremerton, Washington. specializing in General Practice Dentistry. They hold a License No. 3241 (WA). The NPI Number for Unknown Individual is 1861497729

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861497729
Phone
(360) 479-0454
Address
2625 WHEATON WAY
Deactivation Date
28 January 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

  • Wheaton Way, East Bremerton, Bremerton, Kitsap County, Washington, 98310, United States

    STE D

    BREMERTON, WA 983103372

    Phone: (360) 479-0454

    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.

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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 98310)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1861497729 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Bremerton, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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