Rogue Valley Family Dentistry LLC
NPI 1265815799ActiveOrganization· Dentist, General Practice· Grants Pass, OR
Dentist, General Practice in Grants Pass, Oregon, registered in NPPES in July 2015. The authorized official on file is Andrew Dale Gordon, Buisness Manager.
Overview
| NPI | 1265815799 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2015 |
| Last updated in NPPES | Jul 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D9619 | OR |
| Dentist, General Practice | 1223G0001X | D9399 | OR |
| Dentist, General Practice | 1223G0001X | D9604 | OR |
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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