Summit Dental Specialty PLLC
NPI 1871018887ActiveOrganization· Dentist, Endodontics· Phoenix, AZ
Dentist, Endodontics in Phoenix, Arizona, registered in NPPES in August 2017. The authorized official on file is Shiela Dominguez, Managing Member.
Overview
| NPI | 1871018887 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | D9064 | AZ |
| Dentist, Oral and Maxillofacial Pathology | 1223P0106X | D06147 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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