Acacia Dental Group, PLLC
NPI 1942745963ActiveOrganization· Dentist, General Practice· Hendersonville, TN
Dentist, General Practice in Hendersonville, Tennessee, registered in NPPES in December 2016. The authorized official on file is Angela Wilburn Southwell, DDS, Dentist. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1942745963 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2016 |
| Last updated in NPPES | Feb 6, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 8834 | TN |
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 DME Supplier - Oral Surgery - Dentist (TN) |
|---|
Other Dentist, General Practice providers in Hendersonville
- 1902297039
- 1629114954
- 1730288499
- 1972756286
- 1649635947
- 1891154373
- 1003486267
- 1801068614
- 1649442252
- 1942456801
- 1689701179
- 1538452636