Four Corners Family Dental LLC
NPI 1669795456ActiveOrganization· Dentist, General Practice· Farmington, NM
Dentist, General Practice in Farmington, New Mexico, registered in NPPES in March 2010. The authorized official on file is Tyler Anthony Mann, D.D.S., Dentist.
Overview
| NPI | 1669795456 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2010 |
| Last updated in NPPES | Mar 8, 2010 |
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 Farmington
- 1285252627
- 1154934818
- 1104377811
- 1255445706
- 1629596705
- 1093111270
- 1275654410
- 1659387090
- 1063989531
- 1528521374
- 1184047961
- 1427108596