Dental Professionals of Oregon, P.C.
NPI 1902567563ActiveOrganization· Dentist, General Practice· Keizer, OR
Dentist, General Practice in Keizer, Oregon, registered in NPPES in January 2022, part of Heartland Dental. The authorized official on file is Hillary Thull, Credentialing Coordinator.
Overview
| NPI | 1902567563 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Heartland Dental |
| NPI issued | Jan 5, 2022 |
| Last updated in NPPES | Jan 5, 2022 |
| Certified by provider | Jan 4, 2022 |
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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