Connecticut Dental Professionals, P.C.
NPI 1104436633ActiveOrganization· Dentist, General Practice· Milford, CT
Dentist, General Practice in Milford, Connecticut, registered in NPPES in August 2020, part of Connecticut Dental Professionals, P.C. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.
Overview
| NPI | 1104436633 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Connecticut Dental Professionals, P.C. |
| NPI issued | Aug 10, 2020 |
| Last updated in NPPES | Aug 10, 2020 |
| Certified by provider | Aug 10, 2020 |
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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