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Dental Safari Co Missouri, PC

NPI 1811761190ActiveOrganization· Dentist· O Fallon, MO

Dentist in O Fallon, Missouri, registered in NPPES in November 2023. The authorized official on file is Mark Andrew Morley, JD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1811761190
StatusActive
Entity typeOrganization
NPI issuedNov 8, 2023
Last updated in NPPESFeb 25, 2025
Certified by providerFeb 25, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——
Clinic/Center, Dental261QD0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years

Other Dentist providers in O Fallon

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