Pediatric Dental Care Center
NPI 1790947778ActiveOrganization· Dentist, Pediatric Dentistry· Tacoma, WA
Dentist, Pediatric Dentistry in Tacoma, Washington, registered in NPPES in June 2008. The authorized official on file is John L. Gibbons, D.M.D., Doctor.
Overview
| NPI | 1790947778 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2008 |
| Last updated in NPPES | Jun 30, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | DE05994 | WA |
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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