Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1477684256

Unknown Individual is a healthcare provider. based in Cedar park, Texas. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. 22165 (TX). The NPI Number for Unknown Individual is 1477684256

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477684256
Phone
(512) 259-6878
Address
209 DENALI PASS, SUITE B
Deactivation Date
7 February 2024
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

  • 209 DENALI PASS, SUITE B

    CEDAR PARK, TX 78613

    Phone: (512) 259-6878

    Fax: (512) 259-0394

    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 78613)

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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 1477684256.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Cedar Park, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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