East Grove Dental SC
NPI 1023073178ActiveOrganization· Dentist, General Practice· Madison, WI
Dentist, General Practice in Madison, Wisconsin, registered in NPPES in April 2006. The authorized official on file is Sandra L. Lysloff, Office Administrator.
Overview
| NPI | 1023073178 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 5133 | WI |
| Dentist, General Practice | 1223G0001X | 1727G | WI |
| Dentist, General Practice | 1223G0001X | 2808 | WI |
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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