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Richardspn Dental Professionals

NPI 1306232764ActiveOrganization· Preferred Provider Organization· Richardson, TX

Preferred Provider Organization in Richardson, Texas, registered in NPPES in April 2015. The authorized official on file is Kerry Maxwell Goad, DDS, General Dentist.

Overview

NPI1306232764
StatusActive
Entity typeOrganization
NPI issuedApr 13, 2015
Last updated in NPPESApr 13, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X11808TX

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 Preferred Provider Organization providers in Richardson

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