Az Sds III LLC
NPI 1912883695ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Peoria, AZ
Dentist, Orthodontics and Dentofacial Orthopedics in Peoria, Arizona, registered in NPPES in August 2025, part of Az Sds III LLC. The authorized official on file is Charlotte V. Dasch, Sr Director Of Credentialing.
Overview
| NPI | 1912883695 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Az Sds III LLC |
| NPI issued | Aug 15, 2025 |
| Last updated in NPPES | Aug 15, 2025 |
| Certified by provider | Aug 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
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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