Connecticut Dental Professionals, P.C.
NPI 1104387489ActiveOrganization· Dentist, General Practice· Norwalk, CT
Dentist, General Practice in Norwalk, Connecticut, registered in NPPES in March 2019, part of Connecticut Dental Professionals, P.C. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.
Overview
| NPI | 1104387489 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Connecticut Dental Professionals, P.C. |
| NPI issued | Mar 28, 2019 |
| Last updated in NPPES | Mar 28, 2019 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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