Manchester Oral and Implant Surgery PLLC
NPI 1477707081ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Manchester, CT
Dentist, Oral and Maxillofacial Surgery in Manchester, Connecticut, registered in NPPES in November 2008. The authorized official on file is Lisa Harrison, Manager.
Overview
| NPI | 1477707081 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2008 |
| Last updated in NPPES | Sep 4, 2025 |
| Certified by provider | Sep 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | TCONTROLL2454 | CT |
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 |
|---|
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