The Dental Store, Ltd.
NPI 1336013242ActiveOrganization· Dentist, General Practice· Des Plaines, IL
Dentist, General Practice in Des Plaines, Illinois, registered in NPPES in October 2025, part of The Dental Store, Ltd. The authorized official on file is Jason Brenner, DDS, President.
Overview
| NPI | 1336013242 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | The Dental Store, Ltd. |
| NPI issued | Oct 2, 2025 |
| Last updated in NPPES | Oct 2, 2025 |
| Certified by provider | Oct 2, 2025 |
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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