Great Pond Dental PC
NPI 1194088096ActiveOrganization· Dentist, General Practice· Wakefield, MA
Dentist, General Practice in Wakefield, Massachusetts, registered in NPPES in June 2012. The authorized official on file is Inna O. Komarovskaya, DMD, General Dentist/Owner.
Overview
| NPI | 1194088096 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2012 |
| Last updated in NPPES | Aug 27, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN21849 | MA |
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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