Christopher Smith Wennerholm
NPI 1083364293ActiveIndividual· Dentist, Dentist Anesthesiologist Speciality· Gilbert, AZ
Dentist, Dentist Anesthesiologist Speciality in Gilbert, Arizona, licensed in AZ, with an NPI issued in March 2022.
Overview
| NPI | 1083364293 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 29, 2022 |
| Last updated in NPPES | Jan 23, 2026 |
| Certified by provider | Jan 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Dentist Anesthesiologist Speciality Primary | 1223D0004X | D012421 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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