Park City Endodontics LLC
NPI 1649062456ActiveOrganization· Dentist, Endodontics· Park City, UT
Dentist, Endodontics in Park City, Utah, registered in NPPES in May 2025. The authorized official on file is Jamie Pogue, DMD, President.
Overview
| NPI | 1649062456 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2025 |
| Last updated in NPPES | May 19, 2025 |
| Certified by provider | May 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
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 |
|---|
Other Dentist, Endodontics providers in Park City
- 1851599203