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Bridgeport Dentist

NPI 1154628477ActiveOrganization· Dentist, General Practice· Bridgeport, CT

Dentist, General Practice in Bridgeport, Connecticut, registered in NPPES in February 2011. The authorized official on file is Mira Yi, Director.

Overview

NPI1154628477
StatusActive
Entity typeOrganization
NPI issuedFeb 23, 2011
Last updated in NPPESFeb 23, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X010006CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Bridgeport

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