Wheaton Prairie Dental LLC
NPI 1619322773ActiveOrganization· Preferred Provider Organization· Wheaton, IL
Preferred Provider Organization in Wheaton, Illinois, registered in NPPES in April 2016. The authorized official on file is Alan J. Acierno, DDS, Manager.
Overview
| NPI | 1619322773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2016 |
| Last updated in NPPES | Apr 26, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 019015107 | IL |
| Preferred Provider Organization | 305R00000X | 019029436 | IL |
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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