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Destination Dental PLLC

NPI 1396300729ActiveOrganization· Dentist· Hauppauge, NY

Dentist in Hauppauge, New York, registered in NPPES in May 2019. The authorized official on file is Lynn Pierri, DDS,MS, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1396300729
StatusActive
Entity typeOrganization
NPI issuedMay 1, 2019
Last updated in NPPESMay 1, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

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