Avalon Dental Clinic Pl
NPI 1629045489ActiveOrganization· Dentist, General Practice· Milton, FL
Dentist, General Practice in Milton, Florida, registered in NPPES in March 2006. The authorized official on file is Anissa Marie Rodriquez-Ottley, DMD, Owner.
Overview
| NPI | 1629045489 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN15481 | FL |
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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