Missouri Dental Specialists
NPI 1518427079ActiveOrganization· Dentist, Endodontics· Jefferson City, MO
Dentist, Endodontics in Jefferson City, Missouri, registered in NPPES in March 2019. The authorized official on file is Edna Rose Livingston, Practice Manager.
Overview
| NPI | 1518427079 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2019 |
| Last updated in NPPES | May 21, 2020 |
| Certified by provider | May 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
| Dentist, Periodontics | 1223P0300X | — | — |
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 |
|---|
Other Dentist, Endodontics providers in Jefferson City
- 1831293828
- 1184931065
- 1285185355