Dr. Gi Tae Kwon, DDS
Dentist, General Practice in New London, Connecticut
1649795964- Practice location
- 258 S Frontage RD, New London, CT 06320-2641
- Phone
- 860-437-3462
- Fax
- —
- Last updated
- August 8, 2017
Gi Tae Kwon is a Dentist, General Practice based in New London, CT. Gi Tae Kwon practices in New London, CT and has the professional credentials of DDS. The NPI Number for Gi Tae Kwon is 1649795964 and holds a License No. 11856 (CT). The current practice location address for Gi Tae Kwon is 258 S Frontage RD, New London, CT 06320-2641 and can be reached out via phone at 860-437-3462.
Provider Profile Details
- NPI Number
- 1649795964
- Provider Name
- Gi Tae Kwon
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 258 S Frontage RD, New London, CT 06320-2641
- Phone Number
- 860-437-3462
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 8, 2017
- Last Update Date
- August 8, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 258 S Frontage RD
New London, CT 06320-2641 - City
- New London
- State
- Connecticut
- Zip
- 06320-2641
- Phone Number
- 860-437-3462
Provider Business Mailing Address Details
- Address
- 4003 Maple Tree Ln
East Lyme, CT 06333-1671 - City
- East Lyme
- State
- CT
- Zip
- 06333-1671
- Phone Number
- 201-707-4661
License Information
- License Number
- 11856
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near New London, CT
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- Dr. David M Snyderman, DDSDentist, General Practice · NPI 1316961121
- Dr. Holden E Clauson, DDSDentist, General Practice · NPI 1912302209
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Frequently Asked Questions
What is the NPI number of Dr. Gi Tae Kwon, DDS?
The NPI number of Dr. Gi Tae Kwon, DDS is 1649795964. It was assigned on August 8, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Gi Tae Kwon, DDS?
Dr. Gi Tae Kwon, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 11856.
Where does Dr. Gi Tae Kwon, DDS practice?
The practice location is 258 S Frontage RD, New London, CT 06320-2641. The office can be reached at 860-437-3462 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649795964 directly on the NPPES registry website.