Xerxes Dental Enterprises LLC
Dentist in Surprise, AZ. Organization (NPI-2).
NPI number1831783869
StatusActive
Last updated in NPPESFeb 20, 2021
Details
- NPI
- 1831783869
- Entity type
- Organization (NPI-2)
- Legal business name
- Xerxes Dental Enterprises LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2021
- Certification date
- Feb 20, 2021
- Last updated
- Feb 20, 2021
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 | – | – | Yes |
Other names
- Dentistry Of Arizona (Doing Business As)
Practice location
13954 W Waddell Rd Ste 112Surprise, AZ 85379-8751
Phone 623-889-6000
Mailing address
9314 W Monte LindoPeoria, AZ 85383-4221
Phone 216-513-4609
Authorized official
Allen Ewell
Owner
2165134609
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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