Ingleside Dental Assoicates, P.C.
NPI 1780712224ActiveOrganization· Dentist· Macon, GA
Dentist in Macon, Georgia, registered in NPPES in February 2007. The authorized official on file is Jennifer Jackson Roberson, D.M.D., Owner.
Overview
| NPI | 1780712224 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 0200082 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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