Glendale Modern Dentistry, LLP
NPI 1255757308ActiveOrganization· Dentist· Glendale, AZ
Dentist in Glendale, Arizona, registered in NPPES in March 2014. The authorized official on file is Marissa Brown, DMD, Owner Doctor.
Overview
| NPI | 1255757308 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2014 |
| Last updated in NPPES | Mar 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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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