Arizona Dental Professionals, P.C.
NPI 1023801297ActiveOrganization· Dentist, General Practice· Queen Creek, AZ
Dentist, General Practice in Queen Creek, Arizona, registered in NPPES in May 2025, part of Arizona Dental Professionals, P.C. The authorized official on file is Juli Renee Mietzner, Credentialing Manager.
Overview
| NPI | 1023801297 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Arizona Dental Professionals, P.C. |
| NPI issued | May 28, 2025 |
| Last updated in NPPES | May 28, 2025 |
| Certified by provider | May 28, 2025 |
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 |
|---|
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