Siouxland Oral Surgery
NPI 1790757011ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Sioux Falls, SD
Dentist, Oral and Maxillofacial Surgery in Sioux Falls, South Dakota, registered in NPPES in February 2006. The authorized official on file is Peggy Kristin Roth, Insurance Administrator.
Overview
| NPI | 1790757011 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2006 |
| Last updated in NPPES | Apr 14, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
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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