West Hartford Oral and Implant Surgery PLLC
NPI 1811387863ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Manchester, CT
Dentist, Oral and Maxillofacial Surgery in Manchester, Connecticut, registered in NPPES in January 2015. The authorized official on file is Lisa Harrison, Business Manager.
Overview
| NPI | 1811387863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2015 |
| 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 | — | — |
| Clinic/Center, Dental | 261QD0000X | 009050 | 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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