An Elegant Smile P.C.
NPI 1255564506ActiveOrganization· Dentist, General Practice· Prescott, AZ
Dentist, General Practice in Prescott, Arizona, registered in NPPES in September 2009. The authorized official on file is Monica Vitela, Credentialing Coordinator.
Overview
| NPI | 1255564506 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2009 |
| Last updated in NPPES | Sep 2, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 5979 | AZ |
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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