Associated Dental Care Providers, LLC
NPI 1114054624ActiveOrganization· Dentist, General Practice· Glendale, AZ
Dentist, General Practice in Glendale, Arizona, registered in NPPES in February 2007. The authorized official on file is Hannah Fish, Credentialing Manager.
Overview
| NPI | 1114054624 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2007 |
| Last updated in NPPES | Sep 18, 2023 |
| Certified by provider | Sep 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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