Advanced Family Dentistry LLC
NPI 1558133512ActiveOrganization· Dentist, General Practice· Ankeny, IA
Dentist, General Practice in Ankeny, Iowa, registered in NPPES in October 2023, part of Videnta, LLC. The authorized official on file is Lucas Bland, Coo.
Overview
| NPI | 1558133512 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Videnta, LLC |
| NPI issued | Oct 24, 2023 |
| Last updated in NPPES | Oct 24, 2023 |
| Certified by provider | Oct 24, 2023 |
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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