Lake Mountain Dental Eagle Mountain LLC
NPI 1518641083ActiveOrganization· Dentist, General Practice· Eagle Mountain, UT
Dentist, General Practice in Eagle Mountain, Utah, registered in NPPES in June 2023. The authorized official on file is Caden Caden, Admin.
Overview
| NPI | 1518641083 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2023 |
| Last updated in NPPES | Jun 14, 2023 |
| Certified by provider | Jun 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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