Simple Smiles, P.C.
NPI 1336893163ActiveOrganization· Dentist, General Practice· Johnson City, TN
Dentist, General Practice in Johnson City, Tennessee, registered in NPPES in February 2022. The authorized official on file is Ben Cutler, Secretary.
Overview
| NPI | 1336893163 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2022 |
| Last updated in NPPES | Feb 10, 2022 |
| Certified by provider | Feb 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
| Dentist, Endodontics | 1223E0200X | — | — |
| Dentist, Periodontics | 1223P0300X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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