Blue Water Dental Group Port Huron P.C.
NPI 1669649026ActiveOrganization· Dentist, General Practice· Port Huron, MI
Dentist, General Practice in Port Huron, Michigan, registered in NPPES in May 2008. The authorized official on file is Luann Thompson, Office Manager.
Overview
| NPI | 1669649026 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2008 |
| Last updated in NPPES | May 14, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 10502 | MI |
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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