Harrison Dental Group III LLC
NPI 1083217970ActiveOrganization· Dentist, General Practice· Fort Wayne, IN
Dentist, General Practice in Fort Wayne, Indiana, registered in NPPES in November 2020. The authorized official on file is Keith Harrison, Manager.
Overview
| NPI | 1083217970 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2020 |
| Last updated in NPPES | Nov 21, 2020 |
| Certified by provider | Nov 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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