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NPI 1588223929ActiveIndividual· Dentist, Pediatric Dentistry· Jacksonville, FL
Dentist, Pediatric Dentistry in Jacksonville, Florida, licensed in OH, with an NPI issued in June 2019. A-Dec, Inc. was the largest of 4 companies reporting payments in 2025, $726.66 in all, mostly gifts.
Overview
| NPI | 1588223929 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 10, 2019 |
| Last updated in NPPES | Feb 22, 2025 |
| Certified by provider | Feb 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 30.025768 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Industry payments (Open Payments)
- 2025$726.66 · 4 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| A-Dec, Inc. | $685.00 | 1 |
| Straumann USA LLC | $14.31 | 1 |
| Align Technology, Inc. | $13.73 | 1 |
| Philips North America LLC | $13.62 | 1 |
What the 2025 payments were for
- Gift$685.00 · 1 payment
- Food and Beverage$41.66 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 41 pediatric dentists in Jacksonville · All pediatric dentists in Florida