Andrew M Petersen, DDS, LLC
NPI 1114189883ActiveOrganization· Dentist, General Practice· Phoenix, AZ
Dentist, General Practice in Phoenix, Arizona, registered in NPPES in June 2008. The authorized official on file is Andrew Marvin Petersen, DDS, Owner.
Overview
| NPI | 1114189883 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2008 |
| Last updated in NPPES | Jun 25, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 7013 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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