Prodent Dental Lab
NPI 1477884641ActiveOrganization· Dental Laboratory· Vacaville, CA
Dental Laboratory in Vacaville, California, registered in NPPES in January 2010. The authorized official on file is Percival Magpusao Manzano, MDT, Lab Technician.
Overview
| NPI | 1477884641 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2010 |
| Last updated in NPPES | Jan 28, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Laboratory Primary | 292200000X | 016761 | CA |
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 |
|---|