Hill Southern Dental of Maryland PPO PC
NPI 1902788730ActiveOrganization· Dentist· Annapolis, MD
Dentist in Annapolis, Maryland, registered in NPPES in July 2025, part of Hill Southern Dental of Maryland PPO PC. The authorized official on file is Erika Melissa Menjivar, Sr. Credentialing Specialist.
Overview
| NPI | 1902788730 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Hill Southern Dental of Maryland PPO PC |
| NPI issued | Jul 23, 2025 |
| Last updated in NPPES | Jul 23, 2025 |
| Certified by provider | Jul 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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 |
|---|
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