Deep River Family Dental PLLC
NPI 1548002496ActiveOrganization· Dentist, General Practice· Deep River, CT
Dentist, General Practice in Deep River, Connecticut, registered in NPPES in June 2024. The authorized official on file is Soonho Kwon, DMD, Owner/Dentist.
Overview
| NPI | 1548002496 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2024 |
| Last updated in NPPES | Jun 11, 2024 |
| Certified by provider | Jun 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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