Kids Town Pediatric Dentistry of Syracuse
NPI 1992179964ActiveOrganization· Dentist, Pediatric Dentistry· Syracuse, UT
Dentist, Pediatric Dentistry in Syracuse, Utah, registered in NPPES in November 2015. The authorized official on file is Brett Packham, DDS, Member.
Overview
| NPI | 1992179964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2015 |
| Last updated in NPPES | Nov 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 6362621-9922 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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