Az Specialty Dental Services LLC
NPI 1538925995ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Mesa, AZ
Dentist, Orthodontics and Dentofacial Orthopedics in Mesa, Arizona, registered in NPPES in February 2024, part of Az Specialty Dental Services LLC. The authorized official on file is Charlotte Dasch, Director Of Cred And Prov Rel.
Overview
| NPI | 1538925995 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Az Specialty Dental Services LLC |
| NPI issued | Feb 23, 2024 |
| Last updated in NPPES | Feb 23, 2024 |
| Certified by provider | Feb 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
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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