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NPI 1356509806ActiveOrganization· Dentist, General Practice· Effingham, IL

Dentist, General Practice in Effingham, Illinois, registered in NPPES in May 2008. The authorized official on file is Amy Kroeger, Ins Coordinator.

Overview

NPI1356509806
StatusActive
Entity typeOrganization
NPI issuedMay 30, 2008
Last updated in NPPESMay 30, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 general dentists in Effingham

All 24 general dentists in Effingham · All general dentists in Illinois