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NPI 1083141329ActiveOrganization· Dentist, General Practice· Glendale, AZ
Dentist, General Practice in Glendale, Arizona, registered in NPPES in May 2017. The authorized official on file is Stacey C. Layman, DDS, Dentist / Owner. Enrolled in Medicare as dme supplier - oral surgery - dentist and part b supplier - clinic/group practice.
Overview
| NPI | 1083141329 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2017 |
| Last updated in NPPES | Apr 1, 2025 |
| Certified by provider | Apr 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D05894 | AZ |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | D05894 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Oral Surgery - Dentist (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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All 227 general dentists in Glendale · All general dentists in Arizona