Children and Teen Dental Group of Florida
NPI 1194309930ActiveOrganization· Dentist, General Practice· New Port Richey, FL
Dentist, General Practice in New Port Richey, Florida, registered in NPPES in May 2021, part of Children and Teen Dental Group of Florida. The authorized official on file is Jennifer Jordan Rogers, Credentialing Specialist.
Overview
| NPI | 1194309930 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Children and Teen Dental Group of Florida |
| NPI issued | May 7, 2021 |
| Last updated in NPPES | Sep 9, 2026 |
| Certified by provider | Sep 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
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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