Kdst Dental
NPI 1508528761ActiveOrganization· Dentist, General Practice· American Fork, UT
Dentist, General Practice in American Fork, Utah, registered in NPPES in October 2021, part of Kdst Dental. The authorized official on file is Scott A. Tracy, DDS, Manager, Member.
Overview
| NPI | 1508528761 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kdst Dental |
| NPI issued | Oct 5, 2021 |
| Last updated in NPPES | Oct 5, 2021 |
| Certified by provider | Oct 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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