Wildwood Modern Dentistry, PA
NPI 1063222149ActiveOrganization· Dentist, General Practice· Wildwood, FL
Dentist, General Practice in Wildwood, Florida, registered in NPPES in January 2025. The authorized official on file is Jerin Joseph, Owner.
Overview
| NPI | 1063222149 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2025 |
| Last updated in NPPES | Jan 10, 2025 |
| Certified by provider | Jan 10, 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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