Blue Tooth Dental Inc.
NPI 1063664795ActiveOrganization· Dentist, General Practice· Evanston, WY
Dentist, General Practice in Evanston, Wyoming, registered in NPPES in October 2008. The authorized official on file is Sherry Hancock, Office Manager.
Overview
| NPI | 1063664795 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2008 |
| Last updated in NPPES | Oct 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 715 | WY |
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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