Blue Phoenix Dental LLC
NPI 1134885593ActiveOrganization· Dentist· Unalaska, AK
Dentist in Unalaska, Alaska, registered in NPPES in November 2021. The authorized official on file is Sean Michael Davis, DDS, Dentist.
Overview
| NPI | 1134885593 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2021 |
| Last updated in NPPES | Nov 10, 2021 |
| Certified by provider | Oct 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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