Evolution Dental Surgery and Aesthetic Centers
NPI 1063095842ActiveOrganization· Dentist· Duluth, GA
Dentist in Duluth, Georgia, registered in NPPES in April 2021. The authorized official on file is Amy Camba, DMD, Prosthodontist.
Overview
| NPI | 1063095842 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2021 |
| Last updated in NPPES | Apr 30, 2021 |
| Certified by provider | Apr 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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