Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1609917426

Unknown Individual is a healthcare provider. based in Beaumont, Texas. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. 11862 (TX). The NPI Number for Unknown Individual is 1609917426

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609917426
Phone
(409) 899-2668
Address
2965 HARRISON AVE
Deactivation Date
12 April 2022
Data current as of
19 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

  • Billy D Sturrock, DDS, 2965, Harrison Avenue, Beaumont, Jefferson County, Texas, 77702, United States

    SUITE 210

    BEAUMONT, TX 77702

    Phone: (409) 899-2668

    Fax: (409) 899-4272

    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 77702)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1609917426 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Oral and Maxillofacial Surgery (Dentist) in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Beaumont, Texas as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.