Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1841473121

Unknown Individual is a healthcare provider. based in Medford, Oregon. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. 5748 (OR). The NPI Number for Unknown Individual is 1841473121

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1841473121
Phone
(541) 779-7799
Address
3162 STATE ST
Deactivation Date
18 October 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3162, State Street, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975048450

    Phone: (541) 779-7799

    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 97504)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1841473121 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Where in Oregon is Unknown Individual registered?
Use Medford, Oregon as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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