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Mary Elizabeth Imdieke

NPI 1023180023ActiveIndividual· Dentist, Prosthodontics· Minneapolis, MN

Dentist, Prosthodontics in Minneapolis, Minnesota, licensed in MN, with an NPI issued in November 2006. Enrolled in Medicare as order and referring only - oral surgery.

Overview

NPI1023180023
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 14, 2006
Last updated in NPPESAug 14, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Prosthodontics Primary1223P0700XD11276MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Oral Surgery (MN)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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