East 111 Family Dentistry PLLC
NPI 1649881582ActiveOrganization· Dentist, General Practice· Bixby, OK
Dentist, General Practice in Bixby, Oklahoma, registered in NPPES in August 2020. The authorized official on file is Faith Gaskins, Director Of Credentialing.
Overview
| NPI | 1649881582 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2020 |
| Last updated in NPPES | Aug 13, 2020 |
| Certified by provider | Aug 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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