Djordjevic Dental PLLC
NPI 1609662410ActiveOrganization· Dentist, General Practice· Lockport, IL
Dentist, General Practice in Lockport, Illinois, registered in NPPES in April 2025. The authorized official on file is Stevan Djordjevic, DDS, Owner/Dentist.
Overview
| NPI | 1609662410 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2025 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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