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Michelle R. Tom, DA

NPI 1376792903ActiveIndividual· Dental Assistant· Gallup, NM

Dental Assistant (DA) in Gallup, New Mexico, with an NPI issued in September 2008.

Overview

NPI1376792903
StatusActive
Entity typeIndividual
CredentialDA
Sole proprietorNo
NPI issuedSep 18, 2008
Last updated in NPPESSep 18, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dental Assistant Primary126800000X——

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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 Dental Assistant providers in Gallup

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