Professional Dental Associates PC
NPI 1154592285ActiveOrganization· Dentist, General Practice· Baldwin, MI
Dentist, General Practice in Baldwin, Michigan, registered in NPPES in March 2008, part of Professional Dental Associates PC. The authorized official on file is Kevin T. Mathewson, DDS, Dentist Owner.
Overview
| NPI | 1154592285 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Professional Dental Associates PC |
| NPI issued | Mar 17, 2008 |
| Last updated in NPPES | Mar 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 10102 | MI |
| Dentist, General Practice | 1223G0001X | 16945 | MI |
| Dentist, General Practice | 1223G0001X | 19296 | MA |
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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