Gd Fl Tlc Tamarac PLLC
NPI 1295559979ActiveOrganization· Dentist, General Practice· Tamarac, FL
Dentist, General Practice in Tamarac, Florida, registered in NPPES in November 2024. The authorized official on file is Chad Hendricks, Credentialing.
Overview
| NPI | 1295559979 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2024 |
| Last updated in NPPES | Nov 11, 2024 |
| Certified by provider | Nov 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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