Idaho Dental Professionals, P.C.
NPI 1982442448ActiveOrganization· Dentist, General Practice· Meridian, ID
Dentist, General Practice in Meridian, Idaho, registered in NPPES in July 2024, part of Idaho Dental Professionals, P.C. The authorized official on file is Cemyira McDougal, Credentialing Coordinator.
Overview
| NPI | 1982442448 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Idaho Dental Professionals, P.C. |
| NPI issued | Jul 18, 2024 |
| Last updated in NPPES | Jul 18, 2024 |
| Certified by provider | Jul 11, 2024 |
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 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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