Campodonico Family & Cosmetic Dentistry PC
NPI 1104249259ActiveOrganization· Dentist, General Practice· Blaine, MN
Dentist, General Practice in Blaine, Minnesota, registered in NPPES in January 2014. The authorized official on file is Carlos Ernesto Campodonico, DDS, Owner.
Overview
| NPI | 1104249259 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2014 |
| Last updated in NPPES | Jan 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | MN |
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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