Feltzer 2020 Dental Management LLC
NPI 1104238658ActiveOrganization· Dentist, General Practice· Avon, IN
Dentist, General Practice in Avon, Indiana, registered in NPPES in June 2014, part of 20-20 Dental LLC. The authorized official on file is Ronald Prokes, DDS, Cfo.
Overview
| NPI | 1104238658 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | 20-20 Dental LLC |
| NPI issued | Jun 2, 2014 |
| Last updated in NPPES | Jun 2, 2014 |
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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