Individual provider · Type 1 NPI

Gi Tae Kwon, DDS

General Practice Dentistry · New London, CT

NPI number 1649795964 Active

Practice location

258 S Frontage Rd
New London, CT 06320-2641

Call (860) 437-3462 Map

Mailing address

4003 Maple Tree Ln
East Lyme, CT 06333-1671

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X11856 (CT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1649795964

Gi Tae Kwon, DDS's National Provider Identifier is 1649795964, issued on Aug 8, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New London, CT. The record was last updated on Aug 8, 2017.