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Petersburg Complete Dental Care PLLC

NPI 1770824435ActiveOrganization· Dentist, General Practice· Petersburg, VA

Dentist, General Practice in Petersburg, Virginia, registered in NPPES in March 2013. The authorized official on file is Susan E. St. George, D.D.S., Owner.

Overview

NPI1770824435
StatusActive
Entity typeOrganization
NPI issuedMar 6, 2013
Last updated in NPPESMay 7, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X0401412498VA

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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

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