Blue Heron Dental, PLLC
NPI 1235095191ActiveOrganization· Dentist, General Practice· Virginia Beach, VA
Dentist, General Practice in Virginia Beach, Virginia, registered in NPPES in January 2026, part of Atlantic Dental Care, PLC. The authorized official on file is Emily Dimitroff, DDS, Dentist.
Overview
| NPI | 1235095191 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Atlantic Dental Care, PLC |
| NPI issued | Jan 5, 2026 |
| Last updated in NPPES | Jan 5, 2026 |
| Certified by provider | Jan 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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