Northeasr Dental of Long Wharf PC
NPI 1245627561ActiveOrganization· Dentist· New Haven, CT
Dentist in New Haven, Connecticut, registered in NPPES in April 2015. The authorized official on file is Virginia Wicke, Coo.
Overview
| NPI | 1245627561 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2015 |
| Last updated in NPPES | Apr 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN20704 | CT |
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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