Gracie Isabella Comeau
NPI 1114627205ActiveIndividual· Dental Therapist· Andover, MN
Dental Therapist in Andover, Minnesota, licensed in MN, with an NPI issued in March 2023.
Overview
| NPI | 1114627205 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 7, 2023 |
| Last updated in NPPES | Jun 21, 2023 |
| Certified by provider | Jun 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Therapist Primary | 125J00000X | DT164 | MN |
| Dental Hygienist | 124Q00000X | H11422 | MN |
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 |
|---|