32 Cottage Dental LLC
NPI 1225910607ActiveOrganization· Dentist, General Practice· Bloomington, IL
Dentist, General Practice in Bloomington, Illinois, registered in NPPES in July 2025. The authorized official on file is Samantha Hernandez, Rcm Credentialing Manager.
Overview
| NPI | 1225910607 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2025 |
| Last updated in NPPES | May 12, 2026 |
| Certified by provider | May 12, 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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