Anna Alexis Vassallo, DMD
NPI 1689510976ActiveIndividual· Dentist· Clinton, NC
Dentist (DMD) in Clinton, North Carolina, licensed in NC, with an NPI issued in April 2026. Enrolled in Medicare as practitioner - dentist.
Overview
| NPI | 1689510976 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Apr 28, 2026 |
| Last updated in NPPES | Aug 3, 2026 |
| Certified by provider | Aug 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 14710 | NC |
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) | Enrolled Practitioner - Dentist (NC) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Dentist |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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