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Simple Miracles Dentistry, LLC

NPI 1952189136ActiveOrganization· Dentist, General Practice· Bowie, MD

Dentist, General Practice in Bowie, Maryland, registered in NPPES in September 2023. The authorized official on file is Shana A. Dicks, General Dentist.

Overview

NPI1952189136
StatusActive
Entity typeOrganization
NPI issuedSep 19, 2023
Last updated in NPPESDec 11, 2023
Certified by providerDec 11, 2023

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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 Bowie

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