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NPI 1396388781ActiveIndividual· Dentist, General Practice· Lebanon, NH

Dentist, General Practice in Lebanon, New Hampshire, licensed in NH, with an NPI issued in October 2019. Part D covered 296 prescriptions written in 2024, 96% of them generic. Keystone Dental Inc. reported $329.16 in payments in 2025, mostly entertainment.

Overview

NPI1396388781
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 18, 2019
Last updated in NPPESOct 18, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X04524NH

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)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)296 · 299 30-day fills
Patients162
Total drug cost$2,061
Generic share96% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$329.16 · 2 payments from 1 company
  • 2024$171.92 · 2 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Keystone Dental Inc.$329.162

What the 2025 payments were for

  • Entertainment$329.16 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist, General Practice providers in Lebanon

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