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Advantage Dental Associates of Crook County, LLC

NPI 1649573585ActiveOrganization· Dentist, General Practice· Prineville, OR

Dentist, General Practice in Prineville, Oregon, registered in NPPES in December 2010. The authorized official on file is R. Mike Shirtcliff, DMD, Authorized Representative.

Overview

NPI1649573585
StatusActive
Entity typeOrganization
NPI issuedDec 15, 2010
Last updated in NPPESDec 15, 2010

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

Other Dentist, General Practice providers in Prineville

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