Pueblo del Sol Dental Care LLC
NPI 1831613934ActiveOrganization· Dentist, General Practice· Sierra Vista, AZ
Dentist, General Practice in Sierra Vista, Arizona, registered in NPPES in July 2017. The authorized official on file is Justin M. Israelsen, DMD, Owner/Manager/Dentist.
Overview
| NPI | 1831613934 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D008200 | 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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