Ivy 2 Dental PLLC
NPI 1306372503ActiveOrganization· Dentist, Pediatric Dentistry· Glendale, AZ
Dentist, Pediatric Dentistry in Glendale, Arizona, registered in NPPES in May 2017, part of Ivy 2 Dental PLLC. The authorized official on file is Umar M. Imtiaz, DDS, Associate Provider.
Overview
| NPI | 1306372503 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ivy 2 Dental PLLC |
| NPI issued | May 8, 2017 |
| Last updated in NPPES | Jul 20, 2021 |
| Certified by provider | Jul 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 7256 | AZ |
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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