Country Club Dental Care
NPI 1497082796ActiveOrganization· Dentist· Titusville, FL
Dentist in Titusville, Florida, registered in NPPES in November 2009. The authorized official on file is James W. Wardner, D.M.D., Dentist.
Overview
| NPI | 1497082796 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2009 |
| Last updated in NPPES | Nov 6, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 11533 | FL |
| Dentist | 122300000X | 9681 | FL |
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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