American Dental of Fitzgerald
NPI 1639641160ActiveOrganization· Dentist· Fitzgerald, GA
Dentist in Fitzgerald, Georgia, registered in NPPES in December 2018. The authorized official on file is Vicki E. Davis, Practice Administrator.
Overview
| NPI | 1639641160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2018 |
| Last updated in NPPES | Dec 11, 2019 |
| Certified by provider | Dec 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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 |
|---|
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