Advanced Dental Specialists, LLC
NPI 1902554801ActiveOrganization· Dentist, General Practice· Madison, WI
Dentist, General Practice in Madison, Wisconsin, registered in NPPES in March 2022, part of Advanced Dental Specialists, LLC. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1902554801 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Dental Specialists, LLC |
| NPI issued | Mar 10, 2022 |
| Last updated in NPPES | Jan 8, 2025 |
| Certified by provider | Jan 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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