John W Stevens DDS PC
NPI 1053000505ActiveOrganization· Dentist, General Practice· Willimantic, CT
Dentist, General Practice in Willimantic, Connecticut, registered in NPPES in May 2023. The authorized official on file is Nickalus Stevens, DMD, Dentist And Owner.
Overview
| NPI | 1053000505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2023 |
| Last updated in NPPES | May 2, 2023 |
| Certified by provider | May 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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