Unknown Individual – Oral & Maxillofacial Surgery (D.M.D.), NPI 1487645008

Unknown Individual is a healthcare provider. based in Charlestown, Massachusetts. specializing in Oral & Maxillofacial Surgery (D.M.D.). They hold a License No. 37230 (MA). The NPI Number for Unknown Individual is 1487645008

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487645008
Phone
(617) 724-0287
Address
PO BOX 9142
Deactivation Date
19 February 2026
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

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 724-0287

    Fax: (617) 726-2894

    Type: Mailing

  • 15, Parkman Street, Fields Corner, Dorchester, Boston, Suffolk County, Massachusetts, 02122, United States

    WAC 230

    BOSTON, MA 021143117

    Phone: (617) 726-8222

    Fax: (617) 726-2814

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: Henry Schein, Inc. ($112).

Total Amount

$112

General + Research + Ownership

Payments

1

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Henry Schein, Inc.$112
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 02129)

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Reviews

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

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1487645008.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Oral & Maxillofacial Surgery (D.M.D.) is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Charlestown, Massachusetts in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. DAVID ALEXANDER KEITH (DMD BDS)

Oral & Maxillofacial Surgery (D.M.D.)
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DR. EDWARD BERT SELDIN (DMD MD)

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DR. LEONARD BRUCE KABAN (DMD MD)

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DR. ALAN C KO (DMD)

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DR. JOHN ANDREW BUEHLER (DMD)

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DR. BARRY A DORFMAN (DMD)

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DR. MEREDITH AUGUST (DMD MD)

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DR. MATTHEW J JACKSON (DMD)

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DR. LISA CAMPANELLA (DMD)

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