Kajonwud S Chongulia, DMD
Dentist, General Practice in Groton, Connecticut
1679491294- Practice location
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone
- 860-694-3736
- Fax
- —
- Last updated
- August 18, 2026
Kajonwud Shane Chongulia is a Dentist, General Practice based in Groton, CT. Kajonwud Shane Chongulia practices in Groton, CT and has the professional credentials of DMD. The NPI Number for Kajonwud Shane Chongulia is 1679491294 and holds a License No. 22DI03172600 (NJ). The current practice location address for Kajonwud Shane Chongulia is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 860-694-3736.
Provider Profile Details
- NPI Number
- 1679491294
- Provider Name
- Kajonwud Shane Chongulia
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone Number
- 860-694-3736
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 9, 2026
- Last Update Date
- August 18, 2026
- Certification Date
- August 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- Connecticut
- Zip
- 06349-2324
- Phone Number
- 860-694-3736
Provider Business Mailing Address Details
- Address
- Po Box 600
Groton, CT 06349-5600 - City
- Groton
- State
- CT
- Zip
- 06349-5600
- Phone Number
- 860-694-3736
License Information
- License Number
- 22DI03172600
- License State
- NJ
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Kajonwud S Chongulia, DMD?
The NPI number of Kajonwud S Chongulia, DMD is 1679491294. It was assigned on July 9, 2026 and is currently active in the NPPES registry.
What is the specialty of Kajonwud S Chongulia, DMD?
Kajonwud S Chongulia, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI03172600.
Where does Kajonwud S Chongulia, DMD practice?
The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 860-694-3736 (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 1679491294 directly on the NPPES registry website.