Fusion Dental
NPI 1790833218ActiveOrganization· Dentist, General Practice· Clarksville, MD
Dentist, General Practice in Clarksville, Maryland, registered in NPPES in January 2007, part of Fusion Dental. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1790833218 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fusion Dental |
| NPI issued | Jan 8, 2007 |
| Last updated in NPPES | Aug 3, 2022 |
| Certified by provider | Aug 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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