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Northern Door Dental SC

NPI 1013038207ActiveOrganization· Dentist, General Practice· Sister Bay, WI

Dentist, General Practice in Sister Bay, Wisconsin, registered in NPPES in April 2007. The authorized official on file is Thomas Malcolm Mayhew, DDS, Dentist Practice President Owner.

Overview

NPI1013038207
StatusActive
Entity typeOrganization
NPI issuedApr 3, 2007
Last updated in NPPESJul 30, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X5002020015WI

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, General Practice providers in Sister Bay

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