Tennessee Dental Professionals, PC
NPI 1578892915ActiveOrganization· Dentist, General Practice· Antioch, TN
Dentist, General Practice in Antioch, Tennessee, registered in NPPES in December 2009, part of Tennessee Dental Professionals, PC. The authorized official on file is All Cred, Insurance/Credentialing.
Overview
| NPI | 1578892915 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tennessee Dental Professionals, PC |
| NPI issued | Dec 14, 2009 |
| Last updated in NPPES | Oct 17, 2022 |
| Certified by provider | Oct 17, 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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