Wsat Enterprises, LLC
Dentist in Glendale, AZ. Organization (NPI-2).
NPI number1184771339
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1184771339
- Entity type
- Organization (NPI-2)
- Legal business name
- Wsat Enterprises, LLC
- Organization subpart
- No
- Enumeration date
- Jan 3, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D5926 | AZ | Yes |
Other names
- Reel Dental (Doing Business As)
Practice location
5700 W Olive AveSuite 104
Glendale, AZ 85302-3147
Phone 623-934-7606 · Fax 623-934-0150
Mailing address
2323 W Mescal StSuite 205
Phoenix, AZ 85029-4764
Phone 602-944-0073 · Fax 602-944-0371
Authorized official
Fawne Elizabeth Pryor
Insurance Manager
6029440073
Is something wrong?
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