Alta Sky Dental, LLC
NPI 1396146759ActiveOrganization· Dentist, General Practice· Glendale, AZ
Dentist, General Practice in Glendale, Arizona, registered in NPPES in September 2014. The authorized official on file is Jared Justice, Member.
Overview
| NPI | 1396146759 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2014 |
| Last updated in NPPES | Sep 4, 2014 |
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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