Skip to content

South Windsor Perio, PLLC

NPI 1336832641ActiveOrganization· Dentist, Periodontics· South Windsor, CT

Dentist, Periodontics in South Windsor, Connecticut, registered in NPPES in June 2023. The authorized official on file is Michael Kang, DDS, Owner/Manager.

Overview

NPI1336832641
StatusActive
Entity typeOrganization
NPI issuedJun 1, 2023
Last updated in NPPESJun 1, 2023
Certified by providerJun 1, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other periodontists in South Windsor

All periodontists in Connecticut