Access Dental of Park Lake PA
NPI 1275997082ActiveOrganization· Dentist· Waco, TX
Dentist in Waco, Texas, registered in NPPES in April 2016. The authorized official on file is Tien Dinh Phan, DMD, Dentist.
Overview
| NPI | 1275997082 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2016 |
| Last updated in NPPES | Oct 25, 2021 |
| Certified by provider | Oct 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 22334 | TX |
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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