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Post Office Lake Dental Associates

NPI 1962663203ActiveOrganization· Dentist, General Practice· Waldorf, MD

Dentist, General Practice in Waldorf, Maryland, registered in NPPES in June 2008. The authorized official on file is Kameasa Lavonne Johnson, Office Contact.

Overview

NPI1962663203
StatusActive
Entity typeOrganization
NPI issuedJun 19, 2008
Last updated in NPPESJun 19, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X10857MD

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 Waldorf

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