Antigo Dental Clinic L.L.C.
NPI 1417004177ActiveOrganization· Dentist, General Practice· Antigo, WI
Dentist, General Practice in Antigo, Wisconsin, registered in NPPES in January 2007. The authorized official on file is Meghan K. O'Brien, D.D.S., Practice Owner.
Overview
| NPI | 1417004177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2007 |
| Last updated in NPPES | Dec 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 5001261-015 | WI |
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 |
|---|
Other general dentists in Antigo
- 1194823112
- 1447484928
- 1588117998
- 1629190863
- 1952600710
- 1538289467
- 1053433292