Red Mill Pediatric Dentistry, PLLC
NPI 1023568995ActiveOrganization· Dentist, Pediatric Dentistry· Virginia Beach, VA
Dentist, Pediatric Dentistry in Virginia Beach, Virginia, registered in NPPES in October 2016. The authorized official on file is Grace O. Davis, Business Administrator.
Overview
| NPI | 1023568995 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2016 |
| Last updated in NPPES | Oct 10, 2024 |
| Certified by provider | Oct 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | VA |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — | VA |
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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