Dr Itzel Medina, DDS - Dentist in Groton, CT

Dr Itzel Medina, DDS is a Dentist based in Groton, Connecticut. Dr Itzel Medina is licensed to practice in New Jersey (license number 22DI02862000) and her current practice location is 1 Wahoo Ave, Groton, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 694-3736.

NPI number for Dr Itzel Medina is 1023785334 and her current mailing address is 1 Wahoo Ave, Groton, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023785334.

Contact Information

Dr Itzel Medina, DDS
1 Wahoo Ave,
Groton, CT 06349-2324
(860) 694-3736
Not Available



Healthcare Provider's Profile

Full NameDr Itzel Medina
GenderFemale
SpecialityDentist
Location1 Wahoo Ave, Groton, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023785334
  • Provider Enumeration Date: 08/24/2021
  • Last Update Date: 06/29/2023

Medical Identifiers

Medical identifiers for Dr Itzel Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023785334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 22DI02862000 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Itzel Medina is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Itzel Medina, DDS
1 Wahoo Ave,
Groton, CT 06349-2324

Ph: (860) 694-3736
Dr Itzel Medina, DDS
1 Wahoo Ave,
Groton, CT 06349-2324

Ph: (860) 694-3736

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Dentist in Groton, CT

Dr. Matthew Braden Burns Miller, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wahoo Ave, Groton, CT 06349
Phone: 860-694-3094    
Dr. Jimmy Nazih Suliman, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wahoo Ave, Groton, CT 06349
Phone: 860-694-3738    
Dr. J Michael Tiberii,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 643 Route 184, Groton, CT 06340
Phone: 860-445-8569    
Dr. Samuel Duberowski, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wahoo Ave, Groton, CT 06349
Phone: 860-694-4123    
Dr. Thomas Matthew Goebel, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 491 Gold Star Hwy Ste 200, Groton, CT 06340
Phone: 860-446-2357    Fax: 860-446-2359
Josh Cribbs, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wayhoo Drive, Nmrtc Groton: Credentials Coordinator, Groton, CT 06349
Phone: 860-694-2377    

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