Eastern Dental of Marlton, LLC
NPI 1861519456ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Marlton, NJ
Dentist, Orthodontics and Dentofacial Orthopedics in Marlton, New Jersey, registered in NPPES in March 2007. The authorized official on file is Lewis Proffitt, D.M.D, Director.
Overview
| NPI | 1861519456 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | 23068 | NJ |
| Dentist, General Practice | 1223G0001X | 11364 | NJ |
| Dentist, Periodontics | 1223P0300X | 09460 | NJ |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 07879 | NJ |
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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