Dental Professionals of Illinois, P.C.
NPI 1134624307ActiveOrganization· Dentist, General Practice· Frankfort, IL
Dentist, General Practice in Frankfort, Illinois, registered in NPPES in March 2018, part of Dental Professionals of Illinois, P.C. The authorized official on file is Cassandra Petersen, Credentialing Team Lead.
Overview
| NPI | 1134624307 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of Illinois, P.C. |
| NPI issued | Mar 28, 2018 |
| Last updated in NPPES | Mar 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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All 28 general dentists in Frankfort · All general dentists in Illinois