Freeport Dental
NPI 1891165643ActiveOrganization· Dentist, General Practice· Freeport, IL
Dentist, General Practice in Freeport, Illinois, registered in NPPES in October 2015, part of Shadyoak Dental. The authorized official on file is Scott Bares, Owner.
Overview
| NPI | 1891165643 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Shadyoak Dental |
| NPI issued | Oct 5, 2015 |
| Last updated in NPPES | Oct 5, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019027024 | IL |
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 |
|---|
Other Dentist, General Practice providers in Freeport
- 1982183943
- 1669537353
- 1710787585
- 1649210352
- 1013667534
- 1952624975
- 1770494007
- 1427120518
- 1447486501
- 1275223414
- 1083676621
- 1962621763