Hartley Bridge Family Dentistry
NPI 1104206713ActiveOrganization· Dentist, General Practice· Macon, GA
Dentist, General Practice in Macon, Georgia, registered in NPPES in June 2015. The authorized official on file is Leigh Underwood Bennett, D.M.D, Dentist/Owner. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1104206713 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2015 |
| Last updated in NPPES | Nov 26, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN014540 | GA |
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) | Enrolled DME Supplier - Oral Surgery - Dentist (GA) |
|---|
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