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2791 Richmond LLC

NPI 1003391186ActiveOrganization· Dentist, General Practice· Staten Island, NY

Dentist, General Practice in Staten Island, New York, registered in NPPES in September 2018. The authorized official on file is Toni Lynn Egan, Credentialing Department.

Overview

NPI1003391186
StatusActive
Entity typeOrganization
NPI issuedSep 25, 2018
Last updated in NPPESSep 25, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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