Family Dental Care of South Bradenton
NPI 1548680630ActiveOrganization· Dentist, General Practice· Bradenton, FL
Dentist, General Practice in Bradenton, Florida, registered in NPPES in April 2014, part of Family Dental Care of South Bradenton. The authorized official on file is Kendra Walker, Credentialing Coordinator.
Overview
| NPI | 1548680630 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Family Dental Care of South Bradenton |
| NPI issued | Apr 16, 2014 |
| Last updated in NPPES | Apr 16, 2014 |
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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