Brandon Family Dental Care LLC
NPI 1679116412ActiveOrganization· Dentist, General Practice· Brandon, FL
Dentist, General Practice in Brandon, Florida, registered in NPPES in October 2019. The authorized official on file is Donna L. Licause, Office Manager.
Overview
| NPI | 1679116412 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2019 |
| Last updated in NPPES | Dec 18, 2019 |
| Certified by provider | Dec 18, 2019 |
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 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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