Genesis Dental Group Smiles on 11th LLC
NPI 1629598750ActiveOrganization· Dentist, General Practice· Panama City, FL
Dentist, General Practice in Panama City, Florida, registered in NPPES in June 2017. The authorized official on file is Susan Stewart, Manager.
Overview
| NPI | 1629598750 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2017 |
| Last updated in NPPES | Jun 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 Dentist, General Practice providers in Panama City
- 1932990850
- 1831302546
- 1669019873
- 1235579426
- 1285291245
- 1922529916
- 1013438092
- 1194177212
- 1164276010
- 1487356234
- 1568764769
- 1215659776