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Az Max Surgeons PLC

NPI 1528530284ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Mesa, AZ

Dentist, Oral and Maxillofacial Surgery in Mesa, Arizona, registered in NPPES in December 2018. The authorized official on file is Jilian Porter, Credentialing Coordinator.

Overview

NPI1528530284
StatusActive
Entity typeOrganization
NPI issuedDec 19, 2018
Last updated in NPPESJul 30, 2021
Certified by providerJul 30, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Oral and Maxillofacial Surgery Primary1223S0112X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other oral surgeons in Mesa

All oral surgeons in Arizona