Mortimer Family Dentistry, PC
NPI 1417121732ActiveOrganization· Dentist, General Practice· Burton, MI
Dentist, General Practice in Burton, Michigan, registered in NPPES in April 2008. The authorized official on file is Scott Allen Mortimer, D.D.S., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417121732 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2008 |
| Last updated in NPPES | Jul 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2901014445 | MI |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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