Stride Dental Hub LLC
NPI 1104610617ActiveOrganization· Dentist, General Practice· Sanford, FL
Dentist, General Practice in Sanford, Florida, registered in NPPES in April 2025, part of Stride Dental Group LLC. The authorized official on file is Daniel Jimenez, Chief Operating Officer.
Overview
| NPI | 1104610617 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Stride Dental Group LLC |
| NPI issued | Apr 8, 2025 |
| Last updated in NPPES | Apr 28, 2025 |
| Certified by provider | Apr 28, 2025 |
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 |
|---|
Other Dentist, General Practice providers in Sanford
- 1861009136
- 1801455787
- 1386795854
- 1770404105
- 1275928905
- 1265059687
- 1114945060
- 1285773465
- 1972887800
- 1003707712
- 1043473259
- 1174529390