Professional Dental Alliance of Warner Robins Moody Rd, LLC
NPI 1639642176ActiveOrganization· Dentist· Warner Robins, GA
Dentist in Warner Robins, Georgia, registered in NPPES in January 2019. The authorized official on file is Lauren Howard, MA, Credentialing Specialist.
Overview
| NPI | 1639642176 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2019 |
| Last updated in NPPES | Jan 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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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