An Elegant Smile P.C.
NPI 1760797146ActiveOrganization· Dentist, General Practice· Peoria, AZ
Dentist, General Practice in Peoria, Arizona, registered in NPPES in August 2010. The authorized official on file is Monica Vitela, Credentialing Coordinator.
Overview
| NPI | 1760797146 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2010 |
| Last updated in NPPES | Aug 10, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 3531 | 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 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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