Charles H Etheredge DMD PA
NPI 1013735729ActiveOrganization· Dentist· Palm Beach Gardens, FL
Dentist in Palm Beach Gardens, Florida, registered in NPPES in October 2024. The authorized official on file is Charles Etheredge, DMD, Owner.
Overview
| NPI | 1013735729 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2024 |
| Last updated in NPPES | Oct 1, 2024 |
| Certified by provider | Sep 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — | — |
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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