Wasatch Dental Group LLC
NPI 1700409695ActiveOrganization· Dentist, General Practice· South Jordan, UT
Dentist, General Practice in South Jordan, Utah, registered in NPPES in May 2020. The authorized official on file is Dane J. Nelson, DMD, Owner/Partner/Dentist.
Overview
| NPI | 1700409695 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2020 |
| Last updated in NPPES | May 26, 2020 |
| Certified by provider | May 26, 2020 |
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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