St Apollonia Dentistry LLC
NPI 1457941502ActiveOrganization· Dentist· North Andover, MA
Dentist in North Andover, Massachusetts, registered in NPPES in January 2021. The authorized official on file is Mariam Michael, Office Manager. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1457941502 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2021 |
| Last updated in NPPES | Aug 19, 2024 |
| Certified by provider | Aug 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| 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) | Enrolled DME Supplier - Oral Surgery - Dentist (MA) |
|---|
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