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Heartland Dental Care of Tennessee, PC

NPI 1912128117ActiveOrganization· Dentist, General Practice· Antioch, TN

Dentist, General Practice in Antioch, Tennessee, registered in NPPES in May 2007, part of Heartland Dental Care of Tennessee, PC. The authorized official on file is Amy Kroeger, Ins Cood.

Overview

NPI1912128117
StatusActive
Entity typeOrganization (subpart)
Parent organizationHeartland Dental Care of Tennessee, PC
NPI issuedMay 2, 2007
Last updated in NPPESJun 18, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Antioch

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