Revitalizing Smiles, LLC
NPI 1588058077ActiveOrganization· Dentist, Prosthodontics· Fairfield, CT
Dentist, Prosthodontics in Fairfield, Connecticut, registered in NPPES in March 2015. The authorized official on file is Judith Horblitt, Manager.
Overview
| NPI | 1588058077 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2015 |
| Last updated in NPPES | Mar 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 11048 | 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 |
|---|
Other Dentist, Prosthodontics providers in Fairfield
- 1295954469
- 1619997004
- 1366651663
- 1306277892
- 1093877946