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MAGICLAND PEDIATRIC DENTAL LLC
NPI 1033622246
Dentist - Pediatric Dentistry in Waterbury, CT

Active since November 09, 2017
1141 WOLCOTT ST, WATERBURY, CT 06705(860) 282-0630 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2025, Nov 9, 2017 (2 updates tracked since 2017).

About Magicland Pediatric Dental Llc NPPES

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

MAGICLAND PEDIATRIC DENTAL LLC (NPI 1033622246) is a healthcare organization registered as a pediatric dentistry in Waterbury, Connecticut and active in the NPI registry since November 2017. The organization lists Chia Hui Jenny Kwon, Member, as its authorized official.

NPPES Registry Identity

NPI1033622246
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMAGICLAND PEDIATRIC DENTAL LLC
Location Address1141 WOLCOTT STWaterbury, CT 06705-1318
Mailing Address1011 Main StEast Hartford, CT 06108-2294
Phone(860) 282-0630
Organization SubpartNo
Authorized OfficialChia Hui Jenny KwonMember · (917) 453-4055
Enumeration DateNovember 9, 2017
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1033622246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
1141 WOLCOTT ST, Waterbury, CT 06705
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Other Identifiers 1

Medicaid008004605CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Magicland Pediatric Dental LLC's NPI number?

The NPI number for Magicland Pediatric Dental LLC is 1033622246. It was assigned to this organization in the NPPES registry on November 9, 2017.

Where is Magicland Pediatric Dental LLC located?

Magicland Pediatric Dental LLC is located at 1141 Wolcott St, Waterbury, CT 06705. The listed phone number is (860) 282-0630.

What is Magicland Pediatric Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Magicland Pediatric Dental LLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.