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Darrel and Roseann Mooney

NPI 1710147087ActiveOrganization· Dentist, Prosthodontics· Sandpoint, ID

Dentist, Prosthodontics in Sandpoint, Idaho, registered in NPPES in June 2008. The authorized official on file is Darrel Laverne Mooney, DDS, Ownwe.

Overview

NPI1710147087
StatusActive
Entity typeOrganization
NPI issuedJun 11, 2008
Last updated in NPPESJun 11, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Prosthodontics Primary1223P0700XD1650PRID

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

Other Dentist, Prosthodontics providers in Sandpoint

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