Wolf River Dental Center PLLC
NPI 1851860753ActiveOrganization· Dentist· Cordova, TN
Dentist in Cordova, Tennessee, registered in NPPES in November 2018. The authorized official on file is Max S. Breazeal, DDS, Owner.
Overview
| NPI | 1851860753 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2018 |
| Last updated in NPPES | Nov 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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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