Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1962497040

Unknown Individual is a healthcare provider. based in Huntsville, Alabama. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. 2925 (AL). The NPI Number for Unknown Individual is 1962497040

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962497040
Phone
(256) 533-1282
Address
2317 WHITESBURG DR S
Deactivation Date
4 June 2026
Data current as of
10 June 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

  • 2317, Whitesburg Drive South, Medical District, Longwood, Huntsville, Madison County, Alabama, 35801, United States

    HUNTSVILLE, AL 358013819

    Phone: (256) 533-1282

    Fax: (256) 533-1288

    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 35801)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1962497040 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Huntsville, Alabama.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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