White Pine Endodontics PC
NPI 1457874059ActiveOrganization· Dentist, Endodontics· Providence, UT
Dentist, Endodontics in Providence, Utah, registered in NPPES in July 2017. The authorized official on file is Jordan Hansen, DDS, President.
Overview
| NPI | 1457874059 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2017 |
| Last updated in NPPES | Jul 25, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 8362186-9922 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Dentist, Endodontics providers in Providence
- 1285981530