Cornerstone Dental Associates Executive Park PLLC
NPI 1649930728ActiveOrganization· Dentist· Knoxville, TN
Dentist in Knoxville, Tennessee, registered in NPPES in December 2021. The authorized official on file is Rebecca M. Tucker, Operations Manager.
Overview
| NPI | 1649930728 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 30, 2021 |
| Last updated in NPPES | Dec 30, 2021 |
| Certified by provider | Dec 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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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