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NPI 1790153484ActiveOrganization· Dentist, General Practice· Los Lunas, NM
Dentist, General Practice in Los Lunas, New Mexico, registered in NPPES in September 2015. The authorized official on file is Timothy J. Smith, DDS, Owner.
Overview
| NPI | 1790153484 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2015 |
| Last updated in NPPES | May 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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