Branson Pediatric Dental LLC
NPI 1902755465ActiveOrganization· Dentist, Pediatric Dentistry· Branson, MO
Dentist, Pediatric Dentistry in Branson, Missouri, registered in NPPES in January 2026. The authorized official on file is Creed Cardon, DDS, Owner/Dentist.
Overview
| NPI | 1902755465 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2026 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
| Dentist, Dental Public Health | 1223D0001X | — | — |
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 |
|---|
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