Mystic Dental Group, P.C.
NPI 1376700997ActiveOrganization· Dentist, General Practice· Mystic, CT
Dentist, General Practice in Mystic, Connecticut, registered in NPPES in May 2008. The authorized official on file is Tara Cisco, Manager.
Overview
| NPI | 1376700997 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2008 |
| Last updated in NPPES | May 21, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 8531 | 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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