Family Pediatric Dental Specialists PLC
NPI 1013017177ActiveOrganization· Dentist, Pediatric Dentistry· Burnsville, MN
Dentist, Pediatric Dentistry in Burnsville, Minnesota, registered in NPPES in September 2006, part of Family Pediatric Dental Specialists PLC. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1013017177 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Family Pediatric Dental Specialists PLC |
| NPI issued | Sep 25, 2006 |
| Last updated in NPPES | Apr 27, 2022 |
| Certified by provider | Apr 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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