Children and Teen Dental Group of Florida
NPI 1750055182ActiveOrganization· Dentist, General Practice· Palm Harbor, FL
Dentist, General Practice in Palm Harbor, Florida, registered in NPPES in August 2021, part of Children and Teen Dental Group of Florida. The authorized official on file is Jennifer Jordan Rogers, Credentialing Specialist.
Overview
| NPI | 1750055182 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Children and Teen Dental Group of Florida |
| NPI issued | Aug 9, 2021 |
| Last updated in NPPES | Sep 9, 2026 |
| Certified by provider | Sep 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
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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