Organization
Premier Dental Group PLLC
Provider's NPPES record last updated: March 18, 2019
Overview
- Entity Type
- Organization
- NPI
- 1063971281
- Primary Specialty
- Dentist — Pediatric Dentistry
- Practice Location
- Manassas, Virginia
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:22 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Pediatric Dentistry
Dental Providers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Taxonomy code 1223P0221X Dentist
Dental Anesthesiology
Dental Providers
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Taxonomy code 1223D0004X
Practice Locations
Practice Location
9420 Forestwood Ln Ste 201
Manassas, Virginia 20110-4758
Phone: (617) 943-8812
Other Names
- Lighthouse Pediatric Dental TeamReported March 18, 2019
Record Information
- Enumeration Date
- March 18, 2019
- Provider's NPPES Record Last Updated
- March 18, 2019
- NPISignal NPPES Dataset
- August 2026
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