Dental Health Professionals of Wisconsin, S.C.
NPI 1417549544ActiveOrganization· Dentist, General Practice· Mount Pleasant, WI
Dentist, General Practice in Mount Pleasant, Wisconsin, registered in NPPES in February 2021, part of Dental Health Professionals of Wisconsin, S.C. The authorized official on file is Hannah Fish, Credentialing Manager.
Overview
| NPI | 1417549544 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Health Professionals of Wisconsin, S.C. |
| NPI issued | Feb 10, 2021 |
| Last updated in NPPES | Sep 18, 2023 |
| Certified by provider | Sep 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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