Heritage Dental Group, PLLC
NPI 1245752336ActiveOrganization· Dentist, General Practice· Mansfield, TX
Dentist, General Practice in Mansfield, Texas, registered in NPPES in July 2017. The authorized official on file is Amanda Lightfoot, Authorized Representative.
Overview
| NPI | 1245752336 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 11, 2017 |
| Last updated in NPPES | Jan 28, 2026 |
| Certified by provider | Jan 28, 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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