Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1588668123

Unknown Individual is a healthcare provider. based in Ashland, Oregon. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. 8196 (OR). The NPI Number for Unknown Individual is 1588668123

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1588668123
Phone
(541) 482-6980
Address
452 THIMBLEBERRY LN
Deactivation Date
1 March 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

  • 452, Thimbleberry Lane, Ashland, Jackson County, Oregon, 97520, United States

    ASHLAND, OR 975201213

    Phone: (541) 482-6980

    Fax: (541) 610-1597

    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 97520)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1588668123 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
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.
Does Unknown Individual list a practice location?
Patients near Ashland, Oregon may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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