Jupiter Dental Group, PA
NPI 1609149400ActiveOrganization· Dentist, General Practice· Jupiter, FL
Dentist, General Practice in Jupiter, Florida, registered in NPPES in February 2012. The authorized official on file is Stephanie Gomez, Provider Relations Specialist.
Overview
| NPI | 1609149400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2012 |
| Last updated in NPPES | Aug 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Endodontics | 1223E0200X | — | — |
| Dentist, Periodontics | 1223P0300X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
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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