Modern Family Dental PC
NPI 1003479833ActiveOrganization· Dentist, General Practice· Grand Haven, MI
Dentist, General Practice in Grand Haven, Michigan, registered in NPPES in April 2019. The authorized official on file is Renee Heise, Insurance Specialist.
Overview
| NPI | 1003479833 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2019 |
| Last updated in NPPES | Apr 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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