Immediadent of Indiana, P.C.
NPI 1154508331ActiveOrganization· Dentist· New Albany, IN
Dentist in New Albany, Indiana, registered in NPPES in January 2008, part of Immediadent of Indiana, P.C. The authorized official on file is Monica L. Long, Manager Of Provider Credentialing.
Overview
| NPI | 1154508331 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Immediadent of Indiana, P.C. |
| NPI issued | Jan 30, 2008 |
| Last updated in NPPES | Apr 28, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 12010746A | IN |
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 |
|---|
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