Innovative Smile Makers LLC
NPI 1568184612ActiveOrganization· Dentist, General Practice· Gilbert, AZ
Dentist, General Practice in Gilbert, Arizona, registered in NPPES in September 2022. The authorized official on file is Bruce Lauren Herr, DDS, Managing Member.
Overview
| NPI | 1568184612 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2022 |
| Last updated in NPPES | Mar 23, 2023 |
| Certified by provider | Mar 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
Other Dentist, General Practice providers in Gilbert
- 1447011275
- 1194486084
- 1609100700
- 1164544748
- 1104637438
- 1467020818
- 1831021328
- 1922335652
- 1922463538
- 1487343851
- 1588017370
- 1740409358