Applegate Valley Dental Inc
NPI 1750767661ActiveOrganization· Dentist, General Practice· Jacksonville, OR
Dentist, General Practice in Jacksonville, Oregon, registered in NPPES in August 2015. The authorized official on file is Michael Boldt, DMD, Part Owner.
Overview
| NPI | 1750767661 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2015 |
| Last updated in NPPES | Aug 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D6349 | OR |
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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