McKenzie River Dental, LLC
NPI 1114660800ActiveOrganization· Dentist, General Practice· Springfield, OR
Dentist, General Practice in Springfield, Oregon, registered in NPPES in April 2022. The authorized official on file is Deanna Cole, Practice Manager.
Overview
| NPI | 1114660800 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2022 |
| Last updated in NPPES | Apr 19, 2022 |
| Certified by provider | Apr 19, 2022 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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