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Modern Dental Professionals Philadelpha PC

NPI 1871651992ActiveOrganization· Dentist, General Practice· Boothwyn, PA

Dentist, General Practice in Boothwyn, Pennsylvania, registered in NPPES in December 2006. The authorized official on file is Lawrence Paul, Owner.

Overview

NPI1871651992
StatusActive
Entity typeOrganization
NPI issuedDec 4, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X22D102138300PA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Boothwyn

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