Ohio Dental Professionals, Delisle, P.C.
NPI 1104787829ActiveOrganization· Dentist, General Practice· Avon, OH
Dentist, General Practice in Avon, Ohio, registered in NPPES in November 2025, part of Ohio Dental Professionals, Delisle, P.C. The authorized official on file is Cemyira McDougal, Credentialing Coordinator.
Overview
| NPI | 1104787829 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ohio Dental Professionals, Delisle, P.C. |
| NPI issued | Nov 21, 2025 |
| Last updated in NPPES | Nov 21, 2025 |
| Certified by provider | Nov 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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