Connecticut Family Dental, Inc
NPI 1750696399ActiveOrganization· Dentist, General Practice· Bridgeport, CT
Dentist, General Practice in Bridgeport, Connecticut, registered in NPPES in August 2010. The authorized official on file is Jackson Mendes, Vice-President.
Overview
| NPI | 1750696399 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2010 |
| Last updated in NPPES | May 9, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 008314 | CT |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10567 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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