The Tooth Doctor
NPI 1316172596ActiveOrganization· Preferred Provider Organization· Salt Lake City, UT
Preferred Provider Organization in Salt Lake City, Utah, registered in NPPES in May 2009. The authorized official on file is Ray E. Dillman, D.D.S.,P.C., Owner.
Overview
| NPI | 1316172596 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2009 |
| Last updated in NPPES | May 18, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 1395529922 | UT |
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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