Jerry E Udelson, DDS, PC
NPI 1881885127ActiveOrganization· Dentist, Pediatric Dentistry· Forest Park, IL
Opted out of Medicare from February 2016 to February 2028. Dentist, Pediatric Dentistry in Forest Park, Illinois, registered in NPPES in August 2007. The authorized official on file is Jerry E. Udelson, DDS, President.
Overview
| NPI | 1881885127 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2007 |
| Last updated in NPPES | Jul 17, 2024 |
| Certified by provider | Jul 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 021001495 | IL |
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 |
|---|---|
| Opt-out | Opted out Feb 4, 2016 – Feb 4, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other pediatric dentists in Forest Park
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