Dental Town Ltd
NPI 1407719164ActiveOrganization· Dentist, General Practice· Melrose Park, IL
Dentist, General Practice in Melrose Park, Illinois, registered in NPPES in December 2025, part of Dental Town Ltd. The authorized official on file is Samantha Gonzalez, Vp Of Operations.
Overview
| NPI | 1407719164 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Town Ltd |
| NPI issued | Dec 8, 2025 |
| Last updated in NPPES | Dec 8, 2025 |
| Certified by provider | Dec 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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