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Arizona Dental Pros

NPI 1528975547ActiveOrganization· Dentist· Phoenix, AZ

Dentist in Phoenix, Arizona, registered in NPPES in August 2026. The authorized official on file is Nathan Tully, DMD, Owner.

Overview

NPI1528975547
StatusActive
Entity typeOrganization
NPI issuedAug 25, 2026
Last updated in NPPESAug 25, 2026
Certified by providerAug 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 Dentist providers in Phoenix

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