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Cletus A Fonmedig DDS LLC

NPI 1528807708ActiveOrganization· Dentist, General Practice· Rosedale, MD

Dentist, General Practice in Rosedale, Maryland, registered in NPPES in May 2024. The authorized official on file is Cletus Fonmedig, DDS, Member.

Overview

NPI1528807708
StatusActive
Entity typeOrganization
NPI issuedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certified by providerMay 20, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Rosedale

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