Dr. Doug's Pediatric Dentistry P.C.
NPI 1780004267ActiveOrganization· Dentist, Pediatric Dentistry· Logan, UT
Dentist, Pediatric Dentistry in Logan, Utah, registered in NPPES in April 2014. The authorized official on file is Kenneth Douglas Fryer, D.D.S., M.S, President.
Overview
| NPI | 1780004267 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2014 |
| Last updated in NPPES | Apr 23, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 285140-9923 | UT |
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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