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Axiom Dental Laboratories LLC

NPI 1043961865ActiveOrganization· Dental Laboratory· Newberry, FL

Dental Laboratory in Newberry, Florida, registered in NPPES in January 2022. The authorized official on file is Tyler Alan Hansen, Ceo/Founder.

Overview

NPI1043961865
StatusActive
Entity typeOrganization
NPI issuedJan 13, 2022
Last updated in NPPESJan 13, 2022
Certified by providerJan 12, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dental Laboratory Primary292200000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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