Screening result
NPI 1073537304Screened 6/4/2026, 5:54:29 PM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.
EXCLUDED
Active federal exclusion in effect.
This NPI carries 0 active OIG exclusions. Do not employ or contract for federal-program work.
Reasons (9)
- • IL dental board probation (2010-01-31)
- • IL dental board fine (2008-08-22)
- • IL dental board revocation (2008-08-22)
- • IL dental board suspension (2008-07-31)
- • IL dental board suspension (2008-07-31)
- • IL dental board suspension (2008-07-31)
- • IL dental board suspension (2008-07-31)
- • IL dental board suspension (2008-07-31)
- • IL dental board probation (2007-07-06)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL dental | Probation | 2010-01-31 | 2012-01-31 |
| IL dental | Fine | 2008-08-22 | — |
| IL dental | Revocation | 2008-08-22 | — |
| IL dental | Summary Suspension | 2008-07-31 | 2008-07-31 |
| IL dental | Summary Suspension | 2008-07-31 | 2008-07-31 |
| IL dental | Suspension | 2008-07-31 | — |
| IL dental | Summary Suspension | 2008-07-31 | 2008-07-31 |
| IL dental | Suspension | 2008-07-31 | 2010-01-30 |
| IL dental | Probation | 2007-07-06 | 2009-01-05 |
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Source + audit trail
- NPI screened
- 1073537304
- Screen timestamp
- 6/4/2026, 5:54:29 PM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 230
- Matches found
- 9
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ProviderScore — Sanctions Screening Record
Record generated 6/4/2026, 5:54:29 PM
NPI 1073537304
EXCLUDED Active federal exclusion in effect.
Screened 6/4/2026, 5:54:29 PM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (9) | 40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| State Medicaid exclusions | Clear | — |
| SAM.gov / GSA exclusions | Clear | — |
| OFAC SDN (Treasury) | Clear | — |
| FDA debarment | Clear | — |
Findings (9)
- IL dental board probation (2010-01-31)
- IL dental board fine (2008-08-22)
- IL dental board revocation (2008-08-22)
- IL dental board suspension (2008-07-31)
- IL dental board suspension (2008-07-31)
- IL dental board suspension (2008-07-31)
- IL dental board suspension (2008-07-31)
- IL dental board suspension (2008-07-31)
- IL dental board probation (2007-07-06)
Source + audit trail
| NPI screened | 1073537304 |
| Screen timestamp | 6/4/2026, 5:54:29 PM |
| OIG LEIE snapshot | 2026-05-08 |
| State boards covered | AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| Risk band | EXCLUDED |
| Risk score | 230 |
| Total matches | 9 |
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
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