Square Lake Family Dentistry
NPI 1558442202ActiveOrganization· Dentist, General Practice· Troy, MI
Dentist, General Practice in Troy, Michigan, registered in NPPES in October 2006. The authorized official on file is Pritida Tushar Patel, DDS, Secretary.
Overview
| NPI | 1558442202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2006 |
| Last updated in NPPES | Jan 31, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2901015961 | MI |
| Dentist, General Practice | 1223G0001X | 2901015929 | MI |
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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