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Lake City Dental

NPI 1578840245ActiveOrganization· Dentist, General Practice· Lake City, FL

Dentist, General Practice in Lake City, Florida, registered in NPPES in November 2011. The authorized official on file is Grace I. Kraft, Office Manager.

Overview

NPI1578840245
StatusActive
Entity typeOrganization
NPI issuedNov 9, 2011
Last updated in NPPESNov 9, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XDN18804FL

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

Other Dentist, General Practice providers in Lake City

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