Arizona Dental Professionals, P.C.
NPI 1639939226ActiveOrganization· Dentist, General Practice· Surprise, AZ
Dentist, General Practice in Surprise, Arizona, registered in NPPES in March 2024, part of Arizona Dental Professionals, P.C. The authorized official on file is Cemyira McDougal, Credentialing Coordinator.
Overview
| NPI | 1639939226 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Arizona Dental Professionals, P.C. |
| NPI issued | Mar 20, 2024 |
| Last updated in NPPES | Apr 29, 2024 |
| Certified by provider | Apr 29, 2024 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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