Mdg - Salt Lake City Dental LLC
NPI 1205661543ActiveOrganization· Dentist, Prosthodontics· Salt Lake City, UT
Dentist, Prosthodontics in Salt Lake City, Utah, registered in NPPES in September 2024. The authorized official on file is Robert Kellen McWhorter, MD, Dentist.
Overview
| NPI | 1205661543 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2024 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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