Mall of Georgia Dentistry
NPI 1871943662ActiveOrganization· Dentist, General Practice· Buford, GA
Dentist, General Practice in Buford, Georgia, registered in NPPES in June 2016. The authorized official on file is Allison Vancil, Office Manager.
Overview
| NPI | 1871943662 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2016 |
| Last updated in NPPES | May 2, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 012441 | GA |
| Clinic/Center, Dental | 261QD0000X | 012441 | GA |
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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