Abundant Dental Care LLC
NPI 1538950191ActiveOrganization· Dentist, General Practice· American Fork, UT
Dentist, General Practice in American Fork, Utah, registered in NPPES in May 2025, part of Abundant Dental Care LLC. The authorized official on file is Tracie Sullivan, Vp Of Finance.
Overview
| NPI | 1538950191 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Abundant Dental Care LLC |
| NPI issued | May 14, 2025 |
| Last updated in NPPES | May 14, 2025 |
| Certified by provider | May 14, 2025 |
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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