Dental Professionals of Pennsylvania P C
NPI 1609275734ActiveOrganization· Dentist, General Practice· State College, PA
Dentist, General Practice in State College, Pennsylvania, registered in NPPES in August 2014, part of Dental Professionals of Pennsylvania P C. The authorized official on file is Kim Wilson, Cred Supervisor.
Overview
| NPI | 1609275734 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of Pennsylvania P C |
| NPI issued | Aug 14, 2014 |
| Last updated in NPPES | Aug 14, 2014 |
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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