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NPI 1649775826ActiveIndividual· Dentist, General Practice· Utica, MI

Dentist, General Practice in Utica, Michigan, licensed in MI, with an NPI issued in March 2018. Envista Holdings Corporation was the largest of 3 companies reporting payments in 2025, $87.95 in all, mostly food and beverage.

Overview

NPI1649775826
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMar 28, 2018
Last updated in NPPESAug 2, 2022
Certified by providerAug 2, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X2901601435MI
Behavior Analyst103K00000X——

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

Industry payments (Open Payments)

  • 2025$87.95 · 4 payments from 3 companies
  • 2024$14.00 · 1 payment from 1 company

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$70.47 · 3 payments
  • Education$17.48 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist, General Practice providers in Utica

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