Advanced Dental Specialists, LLC
NPI 1578213484ActiveOrganization· Dentist, General Practice· Appleton, WI
Dentist, General Practice in Appleton, 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 | 1578213484 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Dental Specialists, LLC |
| NPI issued | Mar 24, 2022 |
| Last updated in NPPES | Mar 24, 2022 |
| Certified by provider | Mar 10, 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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