Avon Village Family Dentistry
NPI 1376663609ActiveOrganization· Dentist, General Practice· Avon, CT
Dentist, General Practice in Avon, Connecticut, registered in NPPES in March 2007. The authorized official on file is Lauren M. Mentasti, DMD, Owner. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1376663609 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2007 |
| Last updated in NPPES | Feb 5, 2024 |
| Certified by provider | Feb 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Oral Surgery - Dentist (CT) |
|---|
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