Applegate Valley Dental, Inc.
NPI 1477939494ActiveOrganization· Dentist, General Practice· Jacksonville, OR
Dentist, General Practice in Jacksonville, Oregon, registered in NPPES in July 2015. The authorized official on file is Thomas Glenn Brooks, DMD, Part Owner.
Overview
| NPI | 1477939494 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2015 |
| Last updated in NPPES | Jul 31, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D6262 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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