Renaissance Dental & Surgical Arts, Inc.
NPI 1851196968ActiveOrganization· Dentist, Periodontics· Provo, UT
Dentist, Periodontics in Provo, Utah, registered in NPPES in February 2025. The authorized official on file is Gino Antonio Reynoso, DDS, Owner/Periodontist.
Overview
| NPI | 1851196968 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2025 |
| Last updated in NPPES | Feb 14, 2025 |
| Certified by provider | Feb 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
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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