DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ITZEL MEDINA, DDS

Active Sole Proprietor

DR. ITZEL MEDINA, DDS is a Dentist healthcare provider located in EAST LYME, Connecticut. NPI 1023785334 is currently active in the NPPES registry. Verify at CMS.

Dentist · EAST LYME, CT

Registration Details

NPI Number
1023785334
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2021 (5.0079892812419 yrs)
Last Updated
Mar 4, 2026
License
22DI02862000 (NJ)
Sole Proprietor
Yes

Practice Information

Address
319 FLANDERS RD
EAST LYME, CT, 063331711
Browse CT providers · Browse ZIP 06333
Phone
8607396915
Primary Specialty
Dentist
122300000X

Other Dentist Providers in EAST LYME, CT

Name Credential NPI
HANNAH FARRAR DDS 1124689864
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.