Professional Dental LLC
NPI 1457476376ActiveOrganization· Dentist, General Practice· Payson, UT
Dentist, General Practice in Payson, Utah, registered in NPPES in March 2007. The authorized official on file is Robert D. Hack, Owner.
Overview
| NPI | 1457476376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2007 |
| Last updated in NPPES | Mar 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 56928280160 | UT |
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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