Sun City Oral Surgery and Implant Center LLC
NPI 1255121018ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· El Paso, TX
Dentist, Oral and Maxillofacial Surgery in El Paso, Texas, registered in NPPES in May 2025. The authorized official on file is Jake Williams, DDS, Owner Dentist.
Overview
| NPI | 1255121018 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2025 |
| Last updated in NPPES | May 7, 2025 |
| Certified by provider | May 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
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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