Central Fossa LLC
NPI 1225470909ActiveOrganization· Dentist· Sandy, UT
Dentist in Sandy, Utah, registered in NPPES in July 2013. The authorized official on file is Amy E. Florance Dethorn, DMD, Owner.
Overview
| NPI | 1225470909 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2013 |
| Last updated in NPPES | Jul 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 8628346 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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