Pediatric Dental Center of Avon, LLC
NPI 1033562210ActiveOrganization· Dentist, Pediatric Dentistry· Avon, CT
Dentist, Pediatric Dentistry in Avon, Connecticut, registered in NPPES in July 2016. The authorized official on file is Jeanmarie Ann Cosgrove, DMD, Owner.
Overview
| NPI | 1033562210 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2016 |
| Last updated in NPPES | Jul 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 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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