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Organization

Soho- Senior Oral Health Outreach

NPI Record: ActiveDentist — Dental Public Health
NPI1366988404
Phoenix, Arizona

Provider's NPPES record last updated: January 12, 2017

Overview

Entity Type
Organization
NPI
1366988404
Primary Specialty
Dentist — Dental Public Health
Practice Location
Phoenix, Arizona
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:49 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Dental Public Health

    Dental Providers

    Primary

    The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

    Taxonomy code 1223D0001X
  • Dentist

    Pediatric Dentistry

    Dental Providers

    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

    Taxonomy code 1223P0221X
  • Clinic/Center

    Dental

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QD0000X

Provider-Reported License Information

Dentist (Arizona)
D08533
Dentist (Arizona)
D08533
Clinic/Center (Arizona)
D08533
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4901 N 44th St

Suite 102

Phoenix, Arizona 85018-2782

Phone: (480) 779-0227

Other Names

  • Soho- Special Oral Health OutreachReported January 12, 2017

Record Information

Enumeration Date
January 12, 2017
Provider's NPPES Record Last Updated
January 12, 2017
NPISignal NPPES Dataset
August 2026

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