Willettedental
NPI 1710317482ActiveOrganization· Preferred Provider Organization· Beaverton, OR
Preferred Provider Organization in Beaverton, Oregon, registered in NPPES in November 2013. The authorized official on file is Peggy Clifton, Dental Hygienist.
Overview
| NPI | 1710317482 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2013 |
| Last updated in NPPES | Nov 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | H5544 | OR |
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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