South Frontage Road Dental PLLC
NPI 1497402465ActiveOrganization· Dentist, General Practice· Yuma, AZ
Dentist, General Practice in Yuma, Arizona, registered in NPPES in March 2022. The authorized official on file is Vicenta Reyes, Credentialing Lead.
Overview
| NPI | 1497402465 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2022 |
| Last updated in NPPES | Mar 9, 2022 |
| Certified by provider | Mar 9, 2022 |
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 |
|---|
Other general dentists in Yuma
- 1043362650
- 1235366642
- 1447937610
- 1508901778
- 1588727267
- 1619498037
- 1801385778
- 1851475248
- 1881312643
- 1932305406
- 1003972860
- 1043466782
All 55 general dentists in Yuma · All general dentists in Arizona