Desert Ridge Implant & Oral Surgery PC
NPI 1588960512ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Phoenix, AZ
Dentist, Oral and Maxillofacial Surgery in Phoenix, Arizona, registered in NPPES in February 2011. The authorized official on file is Matthew A. Defelice, DDS, Owner.
Overview
| NPI | 1588960512 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2011 |
| Last updated in NPPES | Apr 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 5196 | AZ |
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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