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Wylie Dental Group PLLC

NPI 1073139937ActiveOrganization· Dentist· Wylie, TX

Dentist in Wylie, Texas, registered in NPPES in June 2020. The authorized official on file is Andrew Xu, DDS, Memeber Manager.

Overview

NPI1073139937
StatusActive
Entity typeOrganization
NPI issuedJun 17, 2020
Last updated in NPPESJun 17, 2020
Certified by providerJun 17, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other dentists in Wylie

All 17 dentists in Wylie · All dentists in Texas