Pro Dental Mi 1 PC
NPI 1164259438ActiveOrganization· Dentist, General Practice· Kalamazoo, MI
Dentist, General Practice in Kalamazoo, Michigan, registered in NPPES in September 2024. The authorized official on file is Simone Wilson-Adeleke, MPA-PPA, Director Of Credentialing.
Overview
| NPI | 1164259438 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2024 |
| Last updated in NPPES | Sep 19, 2024 |
| Certified by provider | Sep 19, 2024 |
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 |
|---|
Other general dentists in Kalamazoo
- 1063564086
- 1114156338
- 1225129513
- 1285155184
- 1316159619
- 1386204857
- 1447477096
- 1508587080
- 1568486579
- 1598760530
- 1598989071
- 1669095121
All 67 general dentists in Kalamazoo · All general dentists in Michigan