Western Mass Periodontics PC
NPI 1467085407ActiveOrganization· Dentist, Periodontics· Avon, CT
Dentist, Periodontics in Avon, Connecticut, registered in NPPES in February 2020, part of Western Mass Periodontics PC. The authorized official on file is Leah Ann Maylott, Credentialing Administrator.
Overview
| NPI | 1467085407 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Western Mass Periodontics PC |
| NPI issued | Feb 18, 2020 |
| Last updated in NPPES | Jan 18, 2022 |
| Certified by provider | Jan 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other periodontists in Avon
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