Sunrise Dental Group PC
NPI 1447638218ActiveOrganization· Dentist· Farmington, NM
Dentist in Farmington, New Mexico, registered in NPPES in May 2015. The authorized official on file is Candice Ella Clark, DDS, Owner/Vice President.
Overview
| NPI | 1447638218 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2015 |
| Last updated in NPPES | May 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2673 | NM |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — | — |
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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