Glen Ellyn Family Dental Care
NPI 1487731808ActiveOrganization· Dentist· Glen Ellyn, IL
Dentist in Glen Ellyn, Illinois, registered in NPPES in November 2006. The authorized official on file is Debbie A. Sansone, Office Manager.
Overview
| NPI | 1487731808 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Feb 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 019019339 | IL |
| Dentist | 122300000X | 019023247 | IL |
| Dentist | 122300000X | 019021405 | IL |
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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