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Connor Steven Bresnahan, DDS

NPI 1609570100ActiveIndividual· Dentist· Fort Wayne, IN

Dentist (DDS) in Fort Wayne, Indiana, licensed in IN, with an NPI issued in March 2023.

Overview

NPI1609570100
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedMar 28, 2023
Last updated in NPPESAug 14, 2024
Certified by providerAug 9, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X12014542AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other dentists in Fort Wayne

All 127 dentists in Fort Wayne · All dentists in Indiana