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Abraza Dental Group LLC

NPI 1073963757ActiveOrganization· Dentist· Las Vegas, NV

Dentist in Las Vegas, Nevada, registered in NPPES in June 2016. The authorized official on file is Wyatt Stott Dannels, DDS, Dds.

Overview

NPI1073963757
StatusActive
Entity typeOrganization
NPI issuedJun 14, 2016
Last updated in NPPESJun 15, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X6743NV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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