Unknown Individual – Dentist, NPI 1407859176

Unknown Individual is a healthcare provider. based in Drumright, Oklahoma. specializing in Dentist. They hold a License No. 3573 (OK). The NPI Number for Unknown Individual is 1407859176

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407859176
Phone
(918) 352-3312
Address
PO BOX 712
Deactivation Date
5 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

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Provider Addresses for Unknown Individual

  • PO BOX 712

    DRUMRIGHT, OK 740300712

    Phone: (918) 352-3312

    Fax: (918) 352-2681

    Type: Mailing

  • West Broadway Street, Drumright, Creek County, Oklahoma, 74030, United States

    DRUMRIGHT, OK 740305826

    Phone: (918) 352-3312

    Fax: (918) 352-2681

    Type: Location

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 74030)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1407859176 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Dentist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Drumright, Oklahoma.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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