Heritage Dental Group LLC
NPI 1881139319ActiveOrganization· Dentist, General Practice· Norman, OK
Dentist, General Practice in Norman, Oklahoma, registered in NPPES in December 2016. The authorized official on file is Elie E. Abou-Nassar, DDS, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881139319 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2016 |
| Last updated in NPPES | Mar 13, 2024 |
| Certified by provider | Mar 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 6017 | OK |
| Clinic/Center, Dental | 261QD0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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