Unknown Individual – Oral & Maxillofacial Surgery (D.M.D.), NPI 1861124646

Oral & Maxillofacial Surgery (D.M.D.)

Unknown Individual is a healthcare provider. based in Duluth, Georgia. specializing in Oral & Maxillofacial Surgery (D.M.D.). The NPI Number for Unknown Individual is 1861124646

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1861124646

Phone

(470) 223-7292

Address

125 WITHERIDGE DR

Deactivation Date

3 June 2026

Data current as of

10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience10

Completeness75

Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

125 WITHERIDGE DR
DULUTH, GA 300977816
Phone: (470) 223-7292
Fax: (888) 919-3051
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 30097)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1861124646 uniquely identifies Unknown Individual in U.S. healthcare data.

Should I call the clinic if Unknown Individual is inactive here?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

Which specialty label fits Unknown Individual?

NPPES ties Unknown Individual to Oral & Maxillofacial Surgery (D.M.D.) in the taxonomy section. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Duluth, Georgia?

If you are local to Duluth, Georgia, Unknown Individual may be relevant to your search.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.