Pediatric Dentistry P.L.C.
NPI 1780938688ActiveOrganization· Dentist, Pediatric Dentistry· Sartell, MN
Dentist, Pediatric Dentistry in Sartell, Minnesota, registered in NPPES in October 2012. The authorized official on file is Liliana Lucas, Dentist.
Overview
| NPI | 1780938688 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2012 |
| Last updated in NPPES | Oct 31, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | D12500 | MN |
| Dentist, Pediatric Dentistry | 1223P0221X | D12249 | MN |
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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