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Enovaa Dental Implant Center, PLLC

NPI 1649117557ActiveOrganization· Dentist, General Practice· Murray, UT

Dentist, General Practice in Murray, Utah, registered in NPPES in April 2026. The authorized official on file is Pablo Olliveria Bautista, DDS, General Dentrist.

Overview

NPI1649117557
StatusActive
Entity typeOrganization
NPI issuedApr 29, 2026
Last updated in NPPESApr 29, 2026
Certified by providerApr 29, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

Medicare sources and data years

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