Charlottesville Pediatric Dentistry LLC
NPI 1023740180ActiveOrganization· Dentist, Pediatric Dentistry· Charlottesville, VA
Dentist, Pediatric Dentistry in Charlottesville, Virginia, registered in NPPES in June 2022. The authorized official on file is Brooke Heath, Office Manager.
Overview
| NPI | 1023740180 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2022 |
| Last updated in NPPES | Jun 28, 2022 |
| Certified by provider | Jun 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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