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Itzel Medina, DDS
NPI 1023785334 · Dentist · East Lyme, CT
Itzel Medina, DDS is a Dentist provider in East Lyme, CT (NPI 1023785334).
Provider details
- NPI number
- 1023785334
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14051 (CT)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
319 Flanders Rd
East Lyme, CT 06333-1711
Phone: (860) 739-6915
Street-level locationGet directions
Mailing address
331 Ocean Ave
New London, CT 06320-4719
Additional practice locations (1)
- 1 Wahoo AveGroton, CT 06349-2324Phone: (860) 694-3736
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Frequently asked questions
- What is Itzel Medina's NPI number?
- Itzel Medina's National Provider Identifier (NPI) is 1023785334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Itzel Medina's specialty?
- Itzel Medina is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Itzel Medina located?
- Itzel Medina's practice location on file with NPPES is 319 Flanders Rd, East Lyme, CT 06333-1711.
- What is Itzel Medina's phone number?
- The practice phone number listed in the NPPES registry for Itzel Medina is (860) 739-6915.
- Is Itzel Medina's NPI active?
- Yes — Itzel Medina's NPI (1023785334) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.