Two Rivers Dental
NPI 1760712855ActiveOrganization· Dentist, General Practice· Bolingbrook, IL
Dentist, General Practice in Bolingbrook, Illinois, registered in NPPES in January 2010. The authorized official on file is Sohail S. Shafi, Manager.
Overview
| NPI | 1760712855 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2010 |
| Last updated in NPPES | Dec 10, 2020 |
| Certified by provider | Dec 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019024809 | IL |
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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