La Verne Modern Dentistry, Prof. Corp.
NPI 1215857404ActiveOrganization· Dentist, General Practice· La Verne, CA
Dentist, General Practice in La Verne, California, registered in NPPES in July 2026. The authorized official on file is Abanub Wasfy Farag, DMD, Owner.
Overview
| NPI | 1215857404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2026 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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