Dyer Palm Leaf Dental LLC
NPI 1467394395ActiveOrganization· Dentist· Jacksonville, FL
Dentist in Jacksonville, Florida, registered in NPPES in April 2026, part of Dyer Palm Leaf Dental LLC. The authorized official on file is Shayla Moore, Hr Admin.
Overview
| NPI | 1467394395 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dyer Palm Leaf Dental LLC |
| NPI issued | Apr 8, 2026 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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 |
|---|
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