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Trenton Dental Center LLC

NPI 1053880443ActiveOrganization· Dentist· Ruston, LA

Dentist in Ruston, Louisiana, registered in NPPES in November 2018. The authorized official on file is Amanda Overstreet, Insurance Coordinator. Enrolled in Medicare as dme supplier - oral surgery - dentist.

Overview

NPI1053880443
StatusActive
Entity typeOrganization
NPI issuedNov 15, 2018
Last updated in NPPESNov 15, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

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)Enrolled DME Supplier - Oral Surgery - Dentist (LA)

Medicare sources and data years

Other Dentist providers in Ruston

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