Evolve Dental Medspa
NPI 1164261822ActiveOrganization· Dentist· Smyrna, TN
Dentist in Smyrna, Tennessee, registered in NPPES in May 2024, part of Crystal Clear Family Dentistry. The authorized official on file is Alexa Lanvin, Office Manager.
Overview
| NPI | 1164261822 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Crystal Clear Family Dentistry |
| NPI issued | May 22, 2024 |
| Last updated in NPPES | May 22, 2024 |
| Certified by provider | May 22, 2024 |
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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