The Light Family Dental and Implant Dentistry PLLC
NPI 1912617929ActiveOrganization· Dentist, General Practice· Converse, TX
Dentist, General Practice in Converse, Texas, registered in NPPES in November 2022. The authorized official on file is Andrew Akindutire, Dmd. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912617929 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2022 |
| Last updated in NPPES | Dec 19, 2022 |
| Certified by provider | Dec 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Clinic/Center, Dental | 261QD0000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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