Green Street Dentistry & Aesthetics, LLC
NPI 1063217503ActiveOrganization· Dentist, General Practice· Middletown, DE
Dentist, General Practice in Middletown, Delaware, registered in NPPES in February 2025. The authorized official on file is Jessica Baker, DMD, Dentist Owner.
Overview
| NPI | 1063217503 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2025 |
| Last updated in NPPES | Feb 18, 2025 |
| Certified by provider | Feb 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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