Dustin S. Clevidence, DMD
NPI 1114364692ActiveIndividual· Dentist, General Practice· Evansville, IN
Dentist, General Practice (DMD) in Evansville, Indiana, licensed in IN and KY, with an NPI issued in May 2013.
Overview
| NPI | 1114364692 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | May 24, 2013 |
| Last updated in NPPES | Nov 29, 2023 |
| Certified by provider | Nov 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 12011963 | IN |
| Dentist, General Practice | 1223G0001X | 9292 | KY |
| Dentist | 122300000X | 9292 | KY |
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 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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