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Peach Tree Dental

NPI 1295004851ActiveOrganization· Dentist· Irving, TX

Dentist in Irving, Texas, registered in NPPES in December 2011. The authorized official on file is Mary Pu, Vp Of Finance.

Overview

NPI1295004851
StatusActive
Entity typeOrganization
NPI issuedDec 27, 2011
Last updated in NPPESDec 27, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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

Other Dentist providers in Irving

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