Pdos Dre LLC
NPI 1659144285ActiveOrganization· Dentist, Pediatric Dentistry· Shelbyville, KY
Dentist, Pediatric Dentistry in Shelbyville, Kentucky, registered in NPPES in November 2023. The authorized official on file is Elizabeth Davis, Director Of Revenue.
Overview
| NPI | 1659144285 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2023 |
| Last updated in NPPES | Nov 6, 2023 |
| Certified by provider | Nov 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other pediatric dentists in Shelbyville
- 1598767030
- 1770748790
- 1124556576