Dental 360 Kenosha
NPI 1669199600ActiveOrganization· Dentist, General Practice· Kenosha, WI
Dentist, General Practice in Kenosha, Wisconsin, registered in NPPES in October 2022. The authorized official on file is Ivana Bueno, Director.
Overview
| NPI | 1669199600 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2022 |
| Last updated in NPPES | Oct 20, 2022 |
| Certified by provider | Oct 20, 2022 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 Dentist, General Practice providers in Kenosha
- 1699588137
- 1861046047
- 1134002934
- 1790666568
- 1750461745
- 1780721654
- 1417065970
- 1205364197
- 1033941067
- 1215450531
- 1396903472
- 1841404704