Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1952404576

Unknown Individual is a healthcare provider. based in Lawton, Oklahoma. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. 3235 (OK). The NPI Number for Unknown Individual is 1952404576

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1952404576
Phone
(580) 353-7037
Address
1315 W GORE BLVD
Deactivation Date
1 February 2023
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

  • Southwest Gore Boulevard, Lawton, Comanche County, Oklahoma, 73505, United States

    LAWTON, OK 73501

    Phone: (580) 353-7037

    Fax: (580) 353-7039

    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.

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 73501)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1952404576.
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 and Maxillofacial Surgery (Dentist) is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Lawton, Oklahoma may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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