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Abundant Implant Services

NPI 1568191559ActiveOrganization· Dentist, General Practice· Murray, UT

Dentist, General Practice in Murray, Utah, registered in NPPES in June 2022, part of Abundant Implant Services. The authorized official on file is Tracie Sullivan, Vp Of Finance.

Overview

NPI1568191559
StatusActive
Entity typeOrganization (subpart)
Parent organizationAbundant Implant Services
NPI issuedJun 7, 2022
Last updated in NPPESJun 7, 2022
Certified by providerMay 26, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

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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