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Shamblott Family Dental Center PLLC

NPI 1285350736ActiveOrganization· Dentist· Saint Paul, MN

Dentist in Saint Paul, Minnesota, registered in NPPES in October 2022. The authorized official on file is Victoria Johnson, Cro.

Overview

NPI1285350736
StatusActive
Entity typeOrganization
NPI issuedOct 17, 2022
Last updated in NPPESJul 21, 2026
Certified by providerJul 21, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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