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Wisdom Teeth Experts

NPI 1578323143ActiveOrganization· Dentist, General Practice· West Jordan, UT

Dentist, General Practice in West Jordan, Utah, registered in NPPES in March 2024. The authorized official on file is Max Alexander McCusker, Manager.

Overview

NPI1578323143
StatusActive
Entity typeOrganization
NPI issuedMar 20, 2024
Last updated in NPPESMar 20, 2024
Certified by providerMar 20, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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

Other general dentists in West Jordan

All 74 general dentists in West Jordan · All general dentists in Utah