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NPI 1164278974ActiveOrganization· Dentist, General Practice· Clovis, CA

Dentist, General Practice in Clovis, California, registered in NPPES in April 2024. The authorized official on file is Matthew J. Malan, DDS, Owner. Enrolled in Medicare as dme supplier - oral surgery - dentist and part b supplier - clinic/group practice.

Overview

NPI1164278974
StatusActive
Entity typeOrganization
NPI issuedApr 24, 2024
Last updated in NPPESMay 3, 2024
Certified by providerMay 3, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Oral Surgery - Dentist (CA); Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

Other Dentist, General Practice providers in Clovis

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