Advanced Dental Specialists, LLC
NPI 1558001180ActiveOrganization· Dentist, General Practice· Green Bay, WI
Dentist, General Practice in Green Bay, Wisconsin, registered in NPPES in March 2022, part of Advanced Dental Specialists LLC. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1558001180 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Dental Specialists LLC |
| NPI issued | Mar 31, 2022 |
| Last updated in NPPES | Apr 13, 2022 |
| Certified by provider | Apr 13, 2022 |
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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