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Vogue Dental LLC

NPI 1780109470ActiveOrganization· Dentist· Normal, IL

Dentist in Normal, Illinois, registered in NPPES in August 2017. The authorized official on file is Srinivas Durshanapalli, Preseident/Owner.

Overview

NPI1780109470
StatusActive
Entity typeOrganization
NPI issuedAug 3, 2017
Last updated in NPPESSep 17, 2020
Certified by providerSep 17, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——
Clinic/Center, Dental261QD0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 providers in Normal

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