E. Brown, DDS, C. Hollander, DDS, M. Fernandez, DDS, D. Autry, DMD LLC
NPI 1730544818ActiveOrganization· Dentist, Pediatric Dentistry· Saint Louis, MO
Dentist, Pediatric Dentistry in Saint Louis, Missouri, registered in NPPES in December 2015. The authorized official on file is Daniel Autry, DMD, Owner.
Overview
| NPI | 1730544818 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2015 |
| Last updated in NPPES | Dec 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 015079 | MO |
| Dentist, Pediatric Dentistry | 1223P0221X | 015561 | MO |
| Dentist, Pediatric Dentistry | 1223P0221X | 2004013229 | MO |
| Dentist, Pediatric Dentistry | 1223P0221X | 2005019770 | MO |
| Dentist, Pediatric Dentistry | 1223P0221X | 2013016355 | MO |
| Dentist, Pediatric Dentistry | 1223P0221X | 2014017371 | MO |
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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