Advanced Oral Surgery, PLLC
NPI 1154970655ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Council Bluffs, IA
Dentist, Oral and Maxillofacial Surgery in Council Bluffs, Iowa, registered in NPPES in September 2019. The authorized official on file is Brittney Wiemer, Practice Administrator.
Overview
| NPI | 1154970655 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2019 |
| Last updated in NPPES | Sep 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
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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