Custom Dental Care, P.C.
NPI 1932452893ActiveOrganization· Dentist· Quincy, IL
Dentist in Quincy, Illinois, registered in NPPES in October 2012. The authorized official on file is Dennis Ryan Wagner, D.M.D., Owner/President.
Overview
| NPI | 1932452893 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2012 |
| Last updated in NPPES | Oct 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 019027406 | IL |
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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