Lagrange Periodontics, Ltd
NPI 1023175775ActiveOrganization· Dentist, Periodontics· Countryside, IL
Dentist, Periodontics in Countryside, Illinois, registered in NPPES in January 2007. The authorized official on file is Michelle P. Jennings, DDS, President/Periodontist.
Overview
| NPI | 1023175775 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2007 |
| Last updated in NPPES | Oct 30, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 21001561 | IL |
| Dentist, Periodontics | 1223P0300X | 21001423 | IL |
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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