Providence Dental LLC
NPI 1295189595ActiveOrganization· Dentist, General Practice· Macon, GA
Dentist, General Practice in Macon, Georgia, registered in NPPES in April 2016. The authorized official on file is Paul Jason Mann, DMD, Owner.
Overview
| NPI | 1295189595 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 22, 2016 |
| Last updated in NPPES | Jul 11, 2024 |
| Certified by provider | Jul 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN013536 | GA |
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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