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Maddison Ave Dental

NPI 1316963861ActiveOrganization· Dentist, General Practice· N Las Vegas, NV

Dentist, General Practice in N Las Vegas, Nevada, registered in NPPES in July 2006. The authorized official on file is Amie Leavitt, Office Manager.

Overview

NPI1316963861
StatusActive
Entity typeOrganization
NPI issuedJul 15, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

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

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