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NPI 1013153352ActiveOrganization· Dentist, General Practice· Saint Paul, MN
Dentist, General Practice in Saint Paul, Minnesota, registered in NPPES in December 2008. The authorized official on file is Angie Loft, Site Manager.
Overview
| NPI | 1013153352 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2008 |
| Last updated in NPPES | Dec 16, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D11202 | MN |
| Dentist | 122300000X | 11152 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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