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Archusa Family Dentistry

NPI 1083295844ActiveOrganization· Dentist, General Practice· Quitman, MS

Dentist, General Practice in Quitman, Mississippi, registered in NPPES in April 2021, part of Ageless Intentions. The authorized official on file is Reagan Danielle McNerney, DMD, Owner.

Overview

NPI1083295844
StatusActive
Entity typeOrganization (subpart)
Parent organizationAgeless Intentions
NPI issuedApr 14, 2021
Last updated in NPPESJul 9, 2021
Certified by providerJul 9, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 Dentist, General Practice providers in Quitman

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