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Fourth Street Family Dental, PC

NPI 1447672142ActiveOrganization· Dentist· Hermiston, OR

Dentist in Hermiston, Oregon, registered in NPPES in January 2014. The authorized official on file is Gregory B. Jones, DMD, Owner.

Overview

NPI1447672142
StatusActive
Entity typeOrganization
NPI issuedJan 15, 2014
Last updated in NPPESJan 15, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XD6986OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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