Reebye Park & Richman DDS PLC
NPI 1104317163ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Greensboro, NC
Dentist, Oral and Maxillofacial Surgery in Greensboro, North Carolina, registered in NPPES in May 2018, part of Reebye Park & Richman DDS PLC. The authorized official on file is Andres F. Henao, Technical Director.
Overview
| NPI | 1104317163 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Reebye Park & Richman DDS PLC |
| NPI issued | May 25, 2018 |
| Last updated in NPPES | Mar 9, 2023 |
| Certified by provider | Mar 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | NC |
| Dentist | 122300000X | — | — |
| Dentist, Oral and Maxillofacial Pathology | 1223P0106X | 8976 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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