Edina 5-O Dental PA
NPI 1083789929ActiveOrganization· Dentist· Edina, MN
Dentist in Edina, Minnesota, registered in NPPES in November 2006, part of Edina 5-O Dental PA. The authorized official on file is Drew F. Spencer, DDS, Dentist Owner.
Overview
| NPI | 1083789929 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Edina 5-O Dental PA |
| NPI issued | Nov 22, 2006 |
| Last updated in NPPES | Jul 8, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D10569 | MN |
| Dentist, General Practice | 1223G0001X | 10569 | MN |
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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