Pristine Smile Dental PLLC
NPI 1316692106ActiveOrganization· Dentist, General Practice· Manchester, CT
Dentist, General Practice in Manchester, Connecticut, registered in NPPES in February 2022. The authorized official on file is Jason Lee Hernandez, DMD, Dentist Owner.
Overview
| NPI | 1316692106 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2022 |
| Last updated in NPPES | Feb 20, 2022 |
| Certified by provider | Feb 20, 2022 |
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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