Bentwater Cosmetic and Family Dentistry
NPI 1154069391ActiveOrganization· Dentist, General Practice· Lithia Springs, GA
Dentist, General Practice in Lithia Springs, Georgia, registered in NPPES in May 2022. The authorized official on file is Tiffany Threlkeld, DO, Business Manager.
Overview
| NPI | 1154069391 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2022 |
| Last updated in NPPES | Jul 27, 2022 |
| Certified by provider | Jul 27, 2022 |
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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