Abundant Dental Care, P.C.
NPI 1114597440ActiveOrganization· Dentist, General Practice· Saratoga Springs, UT
Dentist, General Practice in Saratoga Springs, Utah, registered in NPPES in June 2021, part of Abundant Dental Care, P.C. The authorized official on file is Tawny Gray, Credentialing Specialist.
Overview
| NPI | 1114597440 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Abundant Dental Care, P.C. |
| NPI issued | Jun 29, 2021 |
| Last updated in NPPES | Jun 29, 2021 |
| Certified by provider | Jun 29, 2021 |
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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