Jaime Ann Pettenon, DMD
NPI 1851788913ActiveIndividual· Dentist, Pediatric Dentistry· Frankfort, IL
Dentist, Pediatric Dentistry (DMD) in Frankfort, Illinois, licensed in IL, with an NPI issued in April 2015. Enrolled in Medicare as order and referring only - oral surgery.
Overview
| NPI | 1851788913 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Apr 16, 2015 |
| Last updated in NPPES | Mar 2, 2025 |
| Certified by provider | Mar 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 019030754 | IL |
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) | Enrolled Order and Referring Only - Oral Surgery (IL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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