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Clovis Hospital Dentistry PC

NPI 1083968077ActiveOrganization· Dentist, General Practice· Clovis, NM

Dentist, General Practice in Clovis, New Mexico, registered in NPPES in October 2012. The authorized official on file is Falon Waisath, D.M.D., President.

Overview

NPI1083968077
StatusActive
Entity typeOrganization
NPI issuedOct 30, 2012
Last updated in NPPESOct 30, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XDD3553NM

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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 Clovis

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