Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1558459461

Oral and Maxillofacial Surgery (Dentist)

Unknown Individual is a healthcare provider. based in Chesterfield, Missouri. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. 10698 (MO). The NPI Number for Unknown Individual is 1558459461

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1558459461

Phone

(314) 434-0493

Address

222 S WOODSMILL ROAD

Deactivation Date

11 April 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

Provider Addresses for Unknown Individual

222 S WOODSMILL ROAD
SUITE 720 NORTH
CHESTERFIELD, MO 63017
Phone: (314) 434-0493
Fax: (314) 434-7883
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 63017)

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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 1558459461.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What healthcare role does Unknown Individual hold?

Scheduling teams often label Unknown Individual under Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.

Where is Unknown Individual based?

Unknown Individual is tied to Chesterfield, Missouri in the data we show; additional addresses may exist on the full record.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.