Az Specialty Dental Services LLC
NPI 1881266021ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Mesa, AZ
Dentist, Orthodontics and Dentofacial Orthopedics in Mesa, Arizona, registered in NPPES in July 2021. The authorized official on file is Charlotte Dasch, Director Of Providerrelations.
Overview
| NPI | 1881266021 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2021 |
| Last updated in NPPES | Jul 16, 2021 |
| Certified by provider | Jul 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
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 |
|---|
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