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Cedar Bluff Dentistry PLLC

NPI 1558239905ActiveOrganization· Dentist· Knoxville, TN

Dentist in Knoxville, Tennessee, registered in NPPES in October 2025. The authorized official on file is Marcy Kay, Insurance Administrator.

Overview

NPI1558239905
StatusActive
Entity typeOrganization
NPI issuedOct 27, 2025
Last updated in NPPESOct 27, 2025
Certified by providerOct 27, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

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

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