Central Illinois Oral and Maxiofacial Surgery, PC
NPI 1851540330ActiveOrganization· Dentist, General Practice· Champaign, IL
Dentist, General Practice in Champaign, Illinois, registered in NPPES in September 2008, part of Central Illinois Oral and Maxiofacial Surgery, PC. The authorized official on file is Pam Hardiek, Insurance/Credentialing.
Overview
| NPI | 1851540330 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Central Illinois Oral and Maxiofacial Surgery, PC |
| NPI issued | Sep 9, 2008 |
| Last updated in NPPES | Sep 11, 2008 |
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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