Community Dental Partners
NPI 1386917839ActiveOrganization· Dentist, General Practice· Queen Creek, AZ
Dentist, General Practice in Queen Creek, Arizona, registered in NPPES in February 2012. The authorized official on file is Eoin Kirby, Credentialing Supervisor.
Overview
| NPI | 1386917839 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2012 |
| Last updated in NPPES | Feb 29, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D5063 | AZ |
| Dentist, Pediatric Dentistry | 1223P0221X | D5110 | AZ |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | D1819 | 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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