Arizona Dental Professionals, P.C.
NPI 1578966966ActiveOrganization· Dentist, General Practice· Sierra Vista, AZ
Dentist, General Practice in Sierra Vista, Arizona, registered in NPPES in September 2014, part of Arizona Dental Professionals, P.C. The authorized official on file is Kim Wilson, Cred Supervisor.
Overview
| NPI | 1578966966 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Arizona Dental Professionals, P.C. |
| NPI issued | Sep 30, 2014 |
| Last updated in NPPES | Apr 12, 2021 |
| Certified by provider | Apr 12, 2021 |
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 |
|---|
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