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An Elegant Smile P.C.

NPI 1538488804ActiveOrganization· Dentist, General Practice· Tucson, AZ

Dentist, General Practice in Tucson, Arizona, registered in NPPES in May 2010. The authorized official on file is Monica Vitela, Credentialing Coordinator.

Overview

NPI1538488804
StatusActive
Entity typeOrganization
NPI issuedMay 25, 2010
Last updated in NPPESMay 25, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X7622AZ

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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, General Practice providers in Tucson

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