Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1114980257

Unknown Individual is a healthcare provider. based in Richmond, Virginia. specializing in Oral and Maxillofacial Surgery (Dentist). They hold a License No. 0401008302 (VA). The NPI Number for Unknown Individual is 1114980257

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114980257
Phone
(804) 828-4249
Address
521 N 11TH ST
Deactivation Date
2 October 2025
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

  • 521, North 11th Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23298, United States

    RICHMOND, VA 232985045

    Phone: (804) 828-4249

    Type: Mailing

  • VCU School of Dentistry, 520, North 12th Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23298, United States

    RICHMOND, VA 232191610

    Phone: (804) 828-4249

    Type: Location

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.

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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 23298)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1114980257.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Oral and Maxillofacial Surgery (Dentist) in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Richmond, Virginia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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