Ellefson & Marelich Dental Corporation
NPI 1942728241ActiveOrganization· Dentist· Santa Rosa, CA
Dentist in Santa Rosa, California, registered in NPPES in September 2017. The authorized official on file is Laura David Ellefson, DMD, Dentist. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1942728241 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2017 |
| Last updated in NPPES | Sep 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DDS100710 | CA |
| Dentist, General Practice | 1223G0001X | — | — |
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) | Enrolled DME Supplier - Oral Surgery - Dentist (CA) |
|---|
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