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Mike's Dental Lab

NPI 1134493943ActiveOrganization· Dental Laboratory· Sacramento, CA

Dental Laboratory in Sacramento, California, registered in NPPES in February 2012. The authorized official on file is Michael J. Tetrick, CDT, Certified Dental Technician.

Overview

NPI1134493943
StatusActive
Entity typeOrganization
NPI issuedFeb 27, 2012
Last updated in NPPESFeb 27, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dental Laboratory Primary292200000X347527CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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