Unknown Individual – Oral & Maxillofacial Surgery (D.M.D.), NPI 1114987831

Unknown Individual is a healthcare provider. based in Orlando, Florida. specializing in Oral & Maxillofacial Surgery (D.M.D.). They hold a License No. ME92270 (FL). The NPI Number for Unknown Individual is 1114987831

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114987831
Phone
(407) 839-8407
Address
207 W GORE ST STE 302
Deactivation Date
1 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 302, Gore Street, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328061014

    Phone: (407) 839-8407

    Fax: (407) 839-8446

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $287,644.

Total Amount is formed as General ($287,644) + Research ($0) + Ownership ($0) = $287,644.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: KLS-Martin L.P. ($287,588).

Total Amount

$287,644

General + Research + Ownership

Payments

10

Total payment records

General Amount

$287,644

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 32806)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check Unknown Individual using NPI 1114987831?
NPI 1114987831 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Orlando?
Unknown Individual currently maps to Orlando, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

JAMES C JR. PETTIGREW (DMD)

Oral and Maxillofacial Radiology Dentistry
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
NPI: 1689643264

DR. STEVEN D SUDBRINK (D.M.D)

Oral and Maxillofacial Surgery (Dentist)
2101 Park Center Dr Ste 125
NPI: 1164514402

DR. BRENT ALLEN GOLDEN (DDS, MD)

Oral & Maxillofacial Surgery (D.M.D.)
302, Gore Street, Orlando, Orange County, Florida, 32806, United States
NPI: 1679779532

TERRY SU (M.D.)

Oral & Maxillofacial Surgery (D.M.D.)
PO BOX 1112
NPI: 1205164878

SCOTT E. FARBER, DDS.,P.A

Oral & Maxillofacial Surgery (D.M.D.)
5150 CURRY FORD RD
NPI: 1043582331

JORGE JAVIER VALLE (DMD, MD)

Oral & Maxillofacial Surgery (D.M.D.)
731 W Morse Blvd
NPI: 1669810693

DR. TYLER J HOLLEY (MD, DDS)

Oral & Maxillofacial Surgery (D.M.D.)
UNIVERSITY OF NEBRASKA MEDICAL CTR
NPI: 1154760411

FLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA

Oral & Maxillofacial Surgery (D.M.D.)
7350 SANDLAKE COMMONS BLVD STE 2225A
NPI: 1669111902