Roosevelt Dental, P.A.
NPI 1194084731ActiveOrganization· Dentist, General Practice· Windham, ME
Dentist, General Practice in Windham, Maine, registered in NPPES in May 2012. The authorized official on file is Eugene Kim, DDS, Owner.
Overview
| NPI | 1194084731 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2012 |
| Last updated in NPPES | May 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 4101 | ME |
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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