Arizona Dental Professionals, P.C.
NPI 1558157115ActiveOrganization· Dentist, General Practice· Phoenix, AZ
Dentist, General Practice in Phoenix, Arizona, registered in NPPES in April 2025, part of Arizona Dental Professionals, P.C. The authorized official on file is Hillary Thull, Credentialing Coordinator.
Overview
| NPI | 1558157115 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Arizona Dental Professionals, P.C. |
| NPI issued | Apr 18, 2025 |
| Last updated in NPPES | Apr 18, 2025 |
| Certified by provider | Apr 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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