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Midway Premier Dental, LLC

NPI 1770404105ActiveOrganization· Dentist, General Practice· Sanford, FL

Dentist, General Practice in Sanford, Florida, registered in NPPES in July 2026. The authorized official on file is Robert Gammons, President.

Overview

NPI1770404105
StatusActive
Entity typeOrganization
NPI issuedJul 22, 2026
Last updated in NPPESAug 24, 2026
Certified by providerAug 24, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Sanford

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