Harborside Dental PLLC
NPI 1114563012ActiveOrganization· Dentist, General Practice· Traverse City, MI
Dentist, General Practice in Traverse City, Michigan, registered in NPPES in November 2019. The authorized official on file is Mark David Krull, DDS, Partner.
Overview
| NPI | 1114563012 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2019 |
| Last updated in NPPES | Nov 26, 2019 |
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 |
|---|
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