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Fredericktown Family Dental

NPI 1043689557ActiveOrganization· Dentist, General Practice· Fredericktown, MO

Dentist, General Practice in Fredericktown, Missouri, registered in NPPES in September 2015. The authorized official on file is John Adams, Owner.

Overview

NPI1043689557
StatusActive
Entity typeOrganization
NPI issuedSep 15, 2015
Last updated in NPPESSep 16, 2015

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

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