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River City Endodontics

NPI 1043899677ActiveOrganization· Dentist, Endodontics· O Fallon, MO

Dentist, Endodontics in O Fallon, Missouri, registered in NPPES in April 2021. The authorized official on file is Matthew James Walker, D.D.S., M.S.D, Owner.

Overview

NPI1043899677
StatusActive
Entity typeOrganization
NPI issuedApr 2, 2021
Last updated in NPPESDec 12, 2021
Certified by providerDec 12, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Endodontics Primary1223E0200X——

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, Endodontics providers in O Fallon

  • Jack Guo
    O Fallon, MO · Individual
    1669110599

All Dentist, Endodontics providers in Missouri →