Bay Park Smiles LLC
NPI 1104543065ActiveOrganization· Dentist, General Practice· Green Bay, WI
Dentist, General Practice in Green Bay, Wisconsin, registered in NPPES in October 2022. The authorized official on file is Aaron Bushong, Dentist/Owner.
Overview
| NPI | 1104543065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2022 |
| Last updated in NPPES | Oct 21, 2022 |
| Certified by provider | Oct 21, 2022 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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