Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1891942652
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4235 W Northwest Hwy
Suite 600
Dallas, TX 752205047
Phone: (214) 449-1854
Type: Location
420, Highland Avenue, Manhattan Beach, Los Angeles County, California, 90266, United States
MANHATTAN BEACH, CA 902665325
Phone: (310) 227-6580
Type: Mailing
2, North Green Valley Parkway, Green Valley Ranch, Henderson, Clark County, Nevada, 89074, United States
HENDERSON, NV 890745886
Phone: (310) 227-6580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75220)
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