Procare Dental Group, P.C.
NPI 1669539904ActiveOrganization· Dentist· Crystal Lake, IL
Dentist in Crystal Lake, Illinois, registered in NPPES in January 2007, part of Procare Dental Group, P.C. The authorized official on file is Robert G. Brunetti, D.D.S., C.E.O.
Overview
| NPI | 1669539904 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Procare Dental Group, P.C. |
| NPI issued | Jan 3, 2007 |
| Last updated in NPPES | Jan 23, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | IL |
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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