380 Dental Care Group LLC
NPI 1205566114ActiveOrganization· Dentist· Fairfield, NJ
Dentist in Fairfield, New Jersey, registered in NPPES in June 2022. The authorized official on file is Derek Lau, DMD, Owner.
Overview
| NPI | 1205566114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2022 |
| Last updated in NPPES | Jun 14, 2022 |
| Certified by provider | Jun 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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 |
|---|
Other Dentist providers in Fairfield
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