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Impressions Dental

NPI 1144494147ActiveOrganization· Dentist, General Practice· Shawnee, OK

Dentist, General Practice in Shawnee, Oklahoma, registered in NPPES in April 2008. The authorized official on file is Renalla Kaye Ellis, D.D.S., Owner.

Overview

NPI1144494147
StatusActive
Entity typeOrganization
NPI issuedApr 22, 2008
Last updated in NPPESApr 22, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X5285OK

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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

Other Dentist, General Practice providers in Shawnee

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