An Elegant Smile P.C.
NPI 1053631309ActiveOrganization· Dentist, General Practice· Mesa, AZ
Dentist, General Practice in Mesa, Arizona, registered in NPPES in June 2010. The authorized official on file is Monica Vitela, Credentialing Coordinator.
Overview
| NPI | 1053631309 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2010 |
| Last updated in NPPES | Jun 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — | — |
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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