Affordable Dentures & Implants - Kentucky, PLLC
NPI 1417413824ActiveOrganization· Dentist, General Practice· Louisville, KY
Dentist, General Practice in Louisville, Kentucky, registered in NPPES in February 2019. The authorized official on file is Haley Wooster, Enrollment Specialist.
Overview
| NPI | 1417413824 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2019 |
| Last updated in NPPES | Mar 30, 2022 |
| Certified by provider | Mar 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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