Arizona Dental Service
NPI 1417376617ActiveOrganization· Dentist, General Practice· Mesa, AZ
Dentist, General Practice in Mesa, Arizona, registered in NPPES in April 2014. The authorized official on file is Greg Avery, Owner.
Overview
| NPI | 1417376617 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2014 |
| Last updated in NPPES | Apr 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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