Family Periodontic Specialists, PLC
NPI 1063512234ActiveOrganization· Dentist, Periodontics· Richfield, MN
Dentist, Periodontics in Richfield, Minnesota, registered in NPPES in September 2006, part of Family Periodontic Specialists, PLC. The authorized official on file is Belinda Huerta, Credentialing Coordinator.
Overview
| NPI | 1063512234 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Family Periodontic Specialists, PLC |
| NPI issued | Sep 25, 2006 |
| Last updated in NPPES | Aug 10, 2022 |
| Certified by provider | Aug 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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