St. Croix Dental Health, LLC
NPI 1164996997ActiveOrganization· Dentist, General Practice· Webster, WI
Dentist, General Practice in Webster, Wisconsin, registered in NPPES in January 2019. The authorized official on file is Tanya Mortel, Credentialing Coordinator.
Overview
| NPI | 1164996997 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2019 |
| Last updated in NPPES | Nov 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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