Old Bridge Dental Practice LLC
NPI 1164154449ActiveOrganization· Dentist· Old Bridge, NJ
Dentist in Old Bridge, New Jersey, registered in NPPES in June 2022. The authorized official on file is Mike Cole, Vp Insurance Plan Management.
Overview
| NPI | 1164154449 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2022 |
| Last updated in NPPES | Jun 27, 2022 |
| Certified by provider | Jun 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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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