Indian Valley Dental Associates
NPI 1760558894ActiveOrganization· Dentist· Souderton, PA
Dentist in Souderton, Pennsylvania, registered in NPPES in November 2006. The authorized official on file is Spencer Jared Grossman, DMD, Owner. Enrolled in Medicare as dme supplier - oral surgery - dentist and part b supplier - clinic/group practice.
Overview
| NPI | 1760558894 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2006 |
| Last updated in NPPES | Feb 10, 2024 |
| Certified by provider | Feb 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DS021793L | PA |
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) | Enrolled DME Supplier - Oral Surgery - Dentist (PA); Part B Supplier - Clinic/Group Practice (PA) |
|---|
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