Massachusetts Dental Professionals, P.C.
NPI 1669055612ActiveOrganization· Dentist, General Practice· Peabody, MA
Dentist, General Practice in Peabody, Massachusetts, registered in NPPES in April 2021, part of Heartland Dental. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.
Overview
| NPI | 1669055612 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Heartland Dental |
| NPI issued | Apr 28, 2021 |
| Last updated in NPPES | Apr 28, 2021 |
| Certified by provider | Apr 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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