Arizona Dental Professionals, P.C.
NPI 1104637438ActiveOrganization· Dentist, General Practice· Gilbert, AZ
Dentist, General Practice in Gilbert, Arizona, registered in NPPES in January 2025, part of Arizona Dental Professionals, P.C. The authorized official on file is Hillary Thull, Credentialing Coordinator.
Overview
| NPI | 1104637438 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Arizona Dental Professionals, P.C. |
| NPI issued | Jan 16, 2025 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 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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