Dental Professionals of Mississippi, P.C.
NPI 1861155764ActiveOrganization· Dentist, General Practice· Hernando, MS
Dentist, General Practice in Hernando, Mississippi, registered in NPPES in October 2021, part of Heartland Dental. The authorized official on file is Hillary Thull, Credentialing Coordinator.
Overview
| NPI | 1861155764 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Heartland Dental |
| NPI issued | Oct 18, 2021 |
| Last updated in NPPES | Oct 18, 2021 |
| Certified by provider | Oct 18, 2021 |
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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