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Michael C Ditolla DDS Professional Dental Corporation

NPI 1619543568ActiveOrganization· Dentist, General Practice· Lodi, CA

Dentist, General Practice in Lodi, California, registered in NPPES in June 2021. The authorized official on file is Michael C. Ditolla, DDS, President.

Overview

NPI1619543568
StatusActive
Entity typeOrganization
NPI issuedJun 1, 2021
Last updated in NPPESApr 2, 2024
Certified by providerApr 2, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 general dentists in Lodi

All 52 general dentists in Lodi · All general dentists in California