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Prestige Dental Care

NPI 1649893363ActiveOrganization· Dentist, General Practice· Byram, MS

Dentist, General Practice in Byram, Mississippi, registered in NPPES in May 2020. The authorized official on file is Chianti Denice Woodfork, DDS, Dentist/Member.

Overview

NPI1649893363
StatusActive
Entity typeOrganization
NPI issuedMay 28, 2020
Last updated in NPPESMay 28, 2020
Certified by providerMay 28, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 Byram

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