South Sound Family Dentistry, PLLC
NPI 1164585634ActiveOrganization· Dentist, General Practice· Olympia, WA
Dentist, General Practice in Olympia, Washington, registered in NPPES in December 2006. The authorized official on file is Levi G. Green, DDS, President.
Overview
| NPI | 1164585634 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2006 |
| Last updated in NPPES | Apr 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9986 | WA |
| Dentist, General Practice | 1223G0001X | DE00009986 | WA |
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 |
|---|
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