Arizona Dental Professionals, P.C.
NPI 1205505864ActiveOrganization· Dentist, General Practice· Queen Creek, AZ
Dentist, General Practice in Queen Creek, Arizona, registered in NPPES in September 2021, part of Arizona Dental Professionals, P.C. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1205505864 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Arizona Dental Professionals, P.C. |
| NPI issued | Sep 8, 2021 |
| Last updated in NPPES | Sep 8, 2021 |
| Certified by provider | Aug 21, 2021 |
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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