Eagle Summit Dental Clinic, Inc
NPI 1457631558ActiveOrganization· Dentist, General Practice· Buffalo, WY
Dentist, General Practice in Buffalo, Wyoming, registered in NPPES in August 2011. The authorized official on file is Monica Burridge, Office Manager.
Overview
| NPI | 1457631558 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2011 |
| Last updated in NPPES | Aug 19, 2011 |
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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