Wow Dental Az, PLLC
NPI 1740190917ActiveOrganization· Dentist, General Practice· Bullhead City, AZ
Dentist, General Practice in Bullhead City, Arizona, registered in NPPES in September 2026. The authorized official on file is Marianne Tilton, Provider Enrollment Supervisor.
Overview
| NPI | 1740190917 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2026 |
| Last updated in NPPES | Sep 10, 2026 |
| Certified by provider | Sep 10, 2026 |
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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