Magicland Dental LLC
NPI 1295426963ActiveOrganization· Dentist, Pediatric Dentistry· Hartford, CT
Dentist, Pediatric Dentistry in Hartford, Connecticut, registered in NPPES in May 2023. The authorized official on file is Yoon Joong Allan Kwon, DDS, Member.
Overview
| NPI | 1295426963 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2023 |
| Last updated in NPPES | May 16, 2023 |
| Certified by provider | May 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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