Fishhawk Family Dental
NPI 1760695183ActiveOrganization· Dentist, General Practice· Lithia, FL
Dentist, General Practice in Lithia, Florida, registered in NPPES in May 2007. The authorized official on file is Marc Roy Johnson, DMD, Partner.
Overview
| NPI | 1760695183 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2007 |
| Last updated in NPPES | Aug 2, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN16752 | FL |
| Dentist, General Practice | 1223G0001X | DN15183 | FL |
| Dentist, General Practice | 1223G0001X | DN17531 | 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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