Countryside Dental Assoc Inc
NPI 1699934646ActiveOrganization· Dentist· Cooper City, FL
Dentist in Cooper City, Florida, registered in NPPES in June 2008. The authorized official on file is Michael J. Ancona, DDS, President/Dentist.
Overview
| NPI | 1699934646 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 5, 2008 |
| Last updated in NPPES | Jan 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN8648 | — |
| Dentist | 122300000X | DN8648 | FL |
| Dentist | 122300000X | DN18677 | FL |
| Dentist, General Practice | 1223G0001X | DN18066 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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