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Oshkosh Family Dental LLC

NPI 1699236240ActiveOrganization· Dentist· Oshkosh, WI

Dentist in Oshkosh, Wisconsin, registered in NPPES in March 2019, part of Cherry Tree Dental, LLC. The authorized official on file is Olga Grenova, Controller.

Overview

NPI1699236240
StatusActive
Entity typeOrganization (subpart)
Parent organizationCherry Tree Dental, LLC
NPI issuedMar 27, 2019
Last updated in NPPESMar 27, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

Other Dentist providers in Oshkosh

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