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Advanced Dental Spa

NPI 1164621793ActiveOrganization· Dentist, General Practice· New Bedford, MA

Dentist, General Practice in New Bedford, Massachusetts, registered in NPPES in July 2007. The authorized official on file is Vivianne J. Khalife-Yazbeck, DDS, President.

Overview

NPI1164621793
StatusActive
Entity typeOrganization
NPI issuedJul 13, 2007
Last updated in NPPESJul 13, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X21657MA

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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