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Taylor Bonnewitz

NPI 1679424055ActiveIndividual· Dentist, General Practice· Catoosa, OK

Dentist, General Practice in Catoosa, Oklahoma, licensed in OK, with an NPI issued in February 2026.

Overview

NPI1679424055
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedFeb 3, 2026
Last updated in NPPESJul 6, 2026
Certified by providerJul 6, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X8249OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Catoosa

All 17 general dentists in Catoosa · All general dentists in Oklahoma