Heartland Dental Care of Georgia
NPI 1003233107ActiveOrganization· Dentist, General Practice· Canton, GA
Dentist, General Practice in Canton, Georgia, registered in NPPES in March 2014, part of Heartland Dental Care of Georgia. The authorized official on file is Jean Cornell, Credentialing Coordinator.
Overview
| NPI | 1003233107 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Heartland Dental Care of Georgia |
| NPI issued | Mar 26, 2014 |
| Last updated in NPPES | Mar 26, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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