Intermountain Dental Associates -Periodontics
NPI 1093083990ActiveOrganization· Dentist, Periodontics· North Ogden, UT
Dentist, Periodontics in North Ogden, Utah, registered in NPPES in December 2011, part of Intermountain Dental Associates Specialty. The authorized official on file is Vicki Lewis, Specialist Coordinator.
Overview
| NPI | 1093083990 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Intermountain Dental Associates Specialty |
| NPI issued | Dec 6, 2011 |
| Last updated in NPPES | Dec 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 144024-9922 | UT |
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 |
|---|