Daczkowski Orthodontics
NPI 1093186512ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Manassas, VA
Dentist, Orthodontics and Dentofacial Orthopedics in Manassas, Virginia, registered in NPPES in October 2015. The authorized official on file is Telisa Lynn Kidd-Wise, Practice Manager.
Overview
| NPI | 1093186512 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2015 |
| Last updated in NPPES | Feb 17, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | 0401410230 | VA |
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 |
|---|
Other Dentist, Orthodontics and Dentofacial Orthopedics providers in Manassas
- 1730876764
- 1346524360
- 1649833393
- 1841912334
- 1689802969
- 1760602353
- 1538474119
- 1346495850
- 1407474588
- 1013338136
All Dentist, Orthodontics and Dentofacial Orthopedics providers in Virginia →