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Community Dental Care Inc

NPI 1003886383ActiveOrganization· Dentist· Maplewood, MN

Dentist in Maplewood, Minnesota, registered in NPPES in January 2006. The authorized official on file is Kori C. Carlson, Hr Director.

Overview

NPI1003886383
StatusActive
Entity typeOrganization
NPI issuedJan 26, 2006
Last updated in NPPESJul 24, 2025
Certified by providerJul 17, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X460668000MN
Clinic/Center, Dental261QD0000X——

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

Other Dentist providers in Maplewood

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