Prohealth Senior Services of Virginia
NPI 1104314624ActiveOrganization· Dentist, General Practice· Maryville, TN
Dentist, General Practice in Maryville, Tennessee, registered in NPPES in April 2018. The authorized official on file is William F. Proffitt, DDS, Owner.
Overview
| NPI | 1104314624 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2018 |
| Last updated in NPPES | Apr 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 0401413088 | VA |
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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