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Dental Professionals LLC

NPI 1033661988ActiveOrganization· Dentist, General Practice· Derby, KS

Dentist, General Practice in Derby, Kansas, registered in NPPES in October 2016. The authorized official on file is Monte Ysidro, Business Manager.

Overview

NPI1033661988
StatusActive
Entity typeOrganization
NPI issuedOct 26, 2016
Last updated in NPPESOct 26, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Derby

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