Agave Dental LLC
NPI 1851780852ActiveOrganization· Dentist, General Practice· Phoenix, AZ
Dentist, General Practice in Phoenix, Arizona, registered in NPPES in January 2015. The authorized official on file is Monica Dewitt, Office Administrator.
Overview
| NPI | 1851780852 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2015 |
| Last updated in NPPES | May 22, 2023 |
| Certified by provider | May 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | F000375 | 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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