Pecan Tree Dental
NPI 1871909127ActiveOrganization· Preferred Provider Organization· Grand Prairie, TX
Preferred Provider Organization in Grand Prairie, Texas, registered in NPPES in July 2014. The authorized official on file is Quinn Joe Smith, D.M.D., Owner.
Overview
| NPI | 1871909127 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 8, 2014 |
| Last updated in NPPES | Jul 8, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 30205 | TX |
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 |
|---|
Other Preferred Provider Organization providers in Grand Prairie
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