Lakecrest Dental-Owasso 96th
NPI 1972151587ActiveOrganization· Dentist, General Practice· Owasso, OK
Dentist, General Practice in Owasso, Oklahoma, registered in NPPES in August 2019. The authorized official on file is Michelle Mayre Moss, Office Manager.
Overview
| NPI | 1972151587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2019 |
| Last updated in NPPES | Oct 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Dentist, General Practice providers in Owasso
- 1891035051
- 1881441699
- 1437568730
- 1194908012
- 1073789293
- 1508989997
- 1528019114
- 1407647159
- 1841385473
- 1407979875
- 1982279139
- 1851341481