North Davis Pediatric Dentistry LLC
NPI 1619764099ActiveOrganization· Dentist, Pediatric Dentistry· Syracuse, UT
Dentist, Pediatric Dentistry in Syracuse, Utah, registered in NPPES in April 2025. The authorized official on file is Jason Horgesheimer, Owner.
Overview
| NPI | 1619764099 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2025 |
| Last updated in NPPES | Apr 21, 2025 |
| Certified by provider | Apr 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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