Kodp PLLC
NPI 1902798903ActiveOrganization· Dentist, Pediatric Dentistry· Gainesville, FL
Dentist, Pediatric Dentistry in Gainesville, Florida, registered in NPPES in July 2025. The authorized official on file is Alicia Jessica Moore, DDS, Pediatric Dentist.
Overview
| NPI | 1902798903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2025 |
| Last updated in NPPES | Jul 16, 2025 |
| Certified by provider | Jul 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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