Tolosa Childrens Dental Center
NPI 1295139590ActiveOrganization· Dentist, Pediatric Dentistry· San Luis Obispo, CA
Dentist, Pediatric Dentistry in San Luis Obispo, California, registered in NPPES in October 2014, part of Tolosa Children's Dental Center. The authorized official on file is Suzanne Russell, Clinic Director.
Overview
| NPI | 1295139590 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tolosa Children's Dental Center |
| NPI issued | Oct 15, 2014 |
| Last updated in NPPES | Jul 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | D50253 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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