Wade Melvin Banner D.M.D., Inc
NPI 1417357518ActiveOrganization· Dentist· Glendora, CA
Dentist in Glendora, California, registered in NPPES in August 2014. The authorized official on file is Wade Melvin Banner, D.M.D., Owner.
Overview
| NPI | 1417357518 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2014 |
| Last updated in NPPES | May 28, 2024 |
| Certified by provider | May 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 63601 | CA |
| Clinic/Center, Dental | 261QD0000X | — | — |
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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