Carrollwood Dental Group LLC
NPI 1821216060ActiveOrganization· Dentist, General Practice· Bridgeton, MO
Dentist, General Practice in Bridgeton, Missouri, registered in NPPES in April 2007. The authorized official on file is Victor L. Clark, D.M.D., Owner.
Overview
| NPI | 1821216060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2003012113 | MO |
| Dentist, General Practice | 1223G0001X | 14202 | MO |
| Dentist, General Practice | 1223G0001X | 013326 | MO |
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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