Affordable Dentures & Implants - Kenosha III, S.C.
NPI 1104647957ActiveOrganization· Dentist, General Practice· Pleasant Prairie, WI
Dentist, General Practice in Pleasant Prairie, Wisconsin, registered in NPPES in October 2024. The authorized official on file is Zahir Siddiqui, DMD, Managing Dentist.
Overview
| NPI | 1104647957 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2024 |
| Last updated in NPPES | Oct 23, 2024 |
| Certified by provider | Oct 23, 2024 |
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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