Dental Professionals of Texas, P.A.
NPI 1043712037ActiveOrganization· Dentist, General Practice· Plano, TX
Dentist, General Practice in Plano, Texas, registered in NPPES in March 2018, part of Dental Professionals of Texas, P.A. The authorized official on file is Cassandra Petersen, Credentialing Team Lead.
Overview
| NPI | 1043712037 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of Texas, P.A. |
| NPI issued | Mar 6, 2018 |
| Last updated in NPPES | Mar 6, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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