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DR. ITZEL MEDINA DDS
NPI 1023785334
Dentist in East Lyme, CT

Active since August 24, 2021
319 FLANDERS RD, EAST LYME, CT 06333(860) 739-6915 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Mar 4, 2026, Sep 1, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Itzel Medina Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ITZEL MEDINA DDS (NPI 1023785334) is an individual dentist in East Lyme, Connecticut, licensed in Connecticut (14051) and active in the NPI registry since August 2021. She maintains a secondary practice location in Groton.

NPPES Registry Identity

NPI1023785334
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ITZEL MEDINACredential: DDS
Location Address319 FLANDERS RDEast Lyme, CT 06333-1711
Mailing Address331 Ocean AveNew London, CT 06320-4719
Phone(860) 739-6915
Sole ProprietorYes
Enumeration DateAugust 24, 2021
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1023785334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CT · 14051✔ Licensed in NJ · 22DI02862000
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
319 FLANDERS RD, East Lyme, CT 06333
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Secondary Practice Location 1

Location 11 Wahoo AveGroton, CT 06349-2324 · Phone (860) 694-3736 ext. 1461

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHILLIP STEPHEN ZELMANOW D.M.D.
Dentist (General Practice)
319 FLANDERS RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-6915
ZELMANOW DENTAL LLC
Dentist (General Practice)
319 FLANDERS RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-6915
DR. SAMANTH LEE ZELMANOW D.M.D.
Dentist (General Practice)
319 FLANDERS RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-6915
DR. STEPHANIE TSUI D.M.D
Dentist (General Practice)
319 FLANDERS RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-6915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Itzel Medina's NPI number?

The NPI number for Itzel Medina is 1023785334. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Itzel Medina located?

Itzel Medina practices at 319 Flanders Rd, East Lyme, CT 06333. The listed phone number is (860) 739-6915.

What is Itzel Medina's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Itzel Medina accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Itzel Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Itzel Medina was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.