Banyan Dental Svc Psl, LLC
NPI 1740603380ActiveOrganization· Dentist, General Practice· Port Saint Lucie, FL
Dentist, General Practice in Port Saint Lucie, Florida, registered in NPPES in February 2014. The authorized official on file is Jade E. Thomas, DDS, Owner.
Overview
| NPI | 1740603380 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2014 |
| Last updated in NPPES | Feb 3, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN16485 | FL |
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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