Abundant Saratoga Springs LLC
NPI 1093406548ActiveOrganization· Dentist, General Practice· Saratoga Springs, UT
Dentist, General Practice in Saratoga Springs, Utah, registered in NPPES in May 2023, part of Abundant Saratoga Springs. The authorized official on file is Tracie Sullivan, Vp Of Finance.
Overview
| NPI | 1093406548 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Abundant Saratoga Springs |
| NPI issued | May 16, 2023 |
| Last updated in NPPES | May 16, 2023 |
| Certified by provider | May 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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