Mora Dental Center LLC
NPI 1144760158ActiveOrganization· Dentist· Mora, MN
Dentist in Mora, Minnesota, registered in NPPES in February 2017. The authorized official on file is Jennifer Vanderpoel, DDS, President.
Overview
| NPI | 1144760158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2017 |
| Last updated in NPPES | Feb 24, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D11774 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Dentist providers in Mora
- 1487095220
- 1083096085
- 1871509950
- 1407238439
- 1942359278
- 1467407502