Tiny Tooth Pediatric Dentistry
NPI 1861077208ActiveOrganization· Dentist, Pediatric Dentistry· Columbia, MD
Dentist, Pediatric Dentistry in Columbia, Maryland, registered in NPPES in March 2021. The authorized official on file is Su Kim, DDS, Pediatric Dentist.
Overview
| NPI | 1861077208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 17, 2021 |
| Last updated in NPPES | Mar 17, 2021 |
| Certified by provider | Mar 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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