Hill Avenue Dental LLC
NPI 1376303503ActiveOrganization· Dentist, General Practice· Spirit Lake, IA
Dentist, General Practice in Spirit Lake, Iowa, registered in NPPES in March 2024, part of Videnta, LLC. The authorized official on file is Lucas Bland, Coo.
Overview
| NPI | 1376303503 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Videnta, LLC |
| NPI issued | Mar 22, 2024 |
| Last updated in NPPES | Mar 22, 2024 |
| Certified by provider | Mar 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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