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Hally J. Bach, D.D.S.

NPI 1639150188ActiveIndividual· Dentist· Watertown, SD

Opted out of Medicare from June 2017 to June 2027. Dentist (D.D.S.) in Watertown, South Dakota, licensed in SD, with an NPI issued in November 2005.

Overview

NPI1639150188
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorNo
NPI issuedNov 10, 2005
Last updated in NPPESApr 14, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X937SD

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
Opt-outOpted out Jun 6, 2017 – Jun 6, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Watertown

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