Aesthetic Family Dentistry PC
NPI 1518105691ActiveOrganization· Dentist, General Practice· Phoenix, AZ
Dentist, General Practice in Phoenix, Arizona, registered in NPPES in January 2009, part of Aesthetic Family Dentistry PC. The authorized official on file is Russell W. Roderick, DMD, Doctor.
Overview
| NPI | 1518105691 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Aesthetic Family Dentistry PC |
| NPI issued | Jan 28, 2009 |
| Last updated in NPPES | Jan 28, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 4906 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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