Heath Hendrickson Mbr
NPI 1083978316ActiveOrganization· Dentist, General Practice· Provo, UT
Dentist, General Practice in Provo, Utah, registered in NPPES in July 2012. The authorized official on file is Raymond Heath Hendrickson, DDS, Owner.
Overview
| NPI | 1083978316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2012 |
| Last updated in NPPES | Jul 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 5136599922 | UT |
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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