Carolina Pediatric Dental Management, LLC
NPI 1669240586ActiveOrganization· Dentist, Pediatric Dentistry· Raleigh, NC
Dentist, Pediatric Dentistry in Raleigh, North Carolina, registered in NPPES in December 2023. The authorized official on file is Amena Holley, Credentialing Specialist.
Overview
| NPI | 1669240586 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2023 |
| Last updated in NPPES | Dec 20, 2023 |
| Certified by provider | Dec 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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