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Community Dental Care Inc

NPI 1588005169ActiveOrganization· Dentist, General Practice· Crystal, MN

Dentist, General Practice in Crystal, Minnesota, registered in NPPES in July 2013, part of Community Dental Care. The authorized official on file is Korine C. Schultz, Hr Director.

Overview

NPI1588005169
StatusActive
Entity typeOrganization (subpart)
Parent organizationCommunity Dental Care
NPI issuedJul 11, 2013
Last updated in NPPESJun 27, 2024
Certified by providerJun 27, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——
Clinic/Center, Dental261QD0000X——

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 Crystal

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