Super Smiles 4 Kids Cg, PLLC
NPI 1144901547ActiveOrganization· Dentist, General Practice· Casa Grande, AZ
Dentist, General Practice in Casa Grande, Arizona, registered in NPPES in July 2023. The authorized official on file is Dora Pesqueda, MEMBER, Director Of Operations.
Overview
| NPI | 1144901547 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2023 |
| Last updated in NPPES | Apr 3, 2026 |
| Certified by provider | Apr 3, 2026 |
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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