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Chris Diaz-Freed Dental Prof LLC

NPI 1619412384ActiveOrganization· Dentist· Canton, SD

Dentist in Canton, South Dakota, registered in NPPES in January 2017. The authorized official on file is Chris J. Diaz-Freed, DDS, Dentist.

Overview

NPI1619412384
StatusActive
Entity typeOrganization
NPI issuedJan 4, 2017
Last updated in NPPESJan 4, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XD1004SD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Canton

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