Enfield Pediatric Dentistry LLC
NPI 1790068500ActiveOrganization· Dentist, Pediatric Dentistry· Enfield, CT
Dentist, Pediatric Dentistry in Enfield, Connecticut, registered in NPPES in September 2011. The authorized official on file is Toni L. Russo, DMD, Owner.
Overview
| NPI | 1790068500 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2011 |
| Last updated in NPPES | Sep 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 010105 | 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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