Az Dental Specialty Group
NPI 1740532654ActiveOrganization· Dentist· Phoenix, AZ
Dentist in Phoenix, Arizona, registered in NPPES in October 2012. The authorized official on file is Peter A. Bassett, Owner.
Overview
| NPI | 1740532654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2012 |
| Last updated in NPPES | Oct 3, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | F000453 | AZ |
| Dentist, Periodontics | 1223P0300X | 8328 | AZ |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 2176 | 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 |
|---|
Other Dentist providers in Phoenix
- 1740051929
- 1659790897
- 1356501662
- 1962790626
- 1437378858
- 1609152354
- 1568961480
- 1255695813
- 1144888652
- 1578915021
- 1528256773
- 1821215351