1. Home
  2. Directory
  3. Connecticut
  4. New London
  5. Dentist
  6. NPI Profile

DR. GI TAE KWON DDS
NPI 1649795964
Dentist - General Practice in New London, CT

Active since August 08, 2017
258 S FRONTAGE RD, NEW LONDON, CT 06320(860) 437-3462 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gi Tae Kwon Dds NPPES

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

DR. GI TAE KWON DDS (NPI 1649795964) is an individual general practice provider in New London, Connecticut, licensed in Connecticut (11856) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1649795964
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GI TAE KWONCredential: DDS
Location Address258 S FRONTAGE RDNew London, CT 06320-2641
Mailing Address4003 Maple Tree LnEast Lyme, CT 06333-1671 · (201) 707-4661
Phone(860) 437-3462
Sole ProprietorNo
Enumeration DateAugust 8, 2017
✔ NPI 1649795964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 11856
Definition
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.
258 S FRONTAGE RD, New London, CT 06320
Open in Google Maps ↗

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 6

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

SUNG WOO CHO DDS
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
DR. SOO JI LEE DMD
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
BYUNGCHUL PARK D.D.S.
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
NEW LONDON DENTAL CARE, LLC
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
LINDAWATTI HERMAWAN
Dentist (General Practice)
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-3462
VIPASHA DESAI
Dentist
258 S FRONTAGE RD
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 347-3485

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 Gi Tae Kwon's NPI number?

The NPI number for Gi Tae Kwon is 1649795964. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Gi Tae Kwon located?

Gi Tae Kwon practices at 258 S Frontage Rd, New London, CT 06320. The listed phone number is (860) 437-3462.

What is Gi Tae Kwon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Gi Tae Kwon 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 Gi Tae Kwon 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 Gi Tae Kwon was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.