Eagle Dental Corp Inc
NPI 1235141029ActiveOrganization· Dentist· Midwest City, OK
Dentist in Midwest City, Oklahoma, registered in NPPES in August 2006. The authorized official on file is Mary E. Martin, DDS, Ceo Vice President.
Overview
| NPI | 1235141029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 4594 | OK |
| Dentist | 122300000X | 4609 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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