Montgomery Comprehensive Dental Center
NPI 1619354693ActiveOrganization· Exclusive Provider Organization· Conroe, TX
Exclusive Provider Organization in Conroe, Texas, registered in NPPES in April 2015. The authorized official on file is Rachel D. Stark, Financial Coordinator.
Overview
| NPI | 1619354693 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 29, 2015 |
| Last updated in NPPES | Apr 29, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 16499 | TX |
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 |
|---|
Other Exclusive Provider Organization providers in Conroe
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