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Roland Alonzo, DDS

NPI 1538775937ActiveIndividual· Dentist· Fort Campbell, KY

Dentist (DDS) in Fort Campbell, Kentucky, licensed in TX, with an NPI issued in September 2020.

Overview

NPI1538775937
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedSep 21, 2020
Last updated in NPPESOct 5, 2020
Certified by providerOct 5, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X36549TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Fort Campbell

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