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Fremont Dental Group PC

NPI 1093465361ActiveOrganization· Dentist, General Practice· Fremont, NE

Dentist, General Practice in Fremont, Nebraska, registered in NPPES in March 2022. The authorized official on file is Vicenta Reyes, Lead Of Credentialing.

Overview

NPI1093465361
StatusActive
Entity typeOrganization
NPI issuedMar 28, 2022
Last updated in NPPESMar 28, 2022
Certified by providerMar 28, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 Fremont

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