OrganizationActive
South Windsor Perio, PLLC
NPI 1336832641 · Periodontics · South Windsor, CT
South Windsor Perio, PLLC is a Periodontics organization in South Windsor, CT (NPI 1336832641).
Provider details
- NPI number
- 1336832641
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Michael Kang, Owner/Manager(847) 714-6929
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
469 Buckland Rd Ste 203
South Windsor, CT 06074-3737
Phone: (860) 644-2340
Street-level locationGet directions
Mailing address
469 Buckland Rd Ste 203
South Windsor, CT 06074-3737
Registry dates
- Enumerated
- 2023-06-01
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Frequently asked questions
- What is South Windsor Perio, PLLC's NPI number?
- South Windsor Perio, PLLC's National Provider Identifier (NPI) is 1336832641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Windsor Perio, PLLC?
- South Windsor Perio, PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is South Windsor Perio, PLLC located?
- South Windsor Perio, PLLC's practice location on file with NPPES is 469 Buckland Rd Ste 203, South Windsor, CT 06074-3737.
- What is South Windsor Perio, PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Windsor Perio, PLLC is (860) 644-2340.
- Who is the authorized official for South Windsor Perio, PLLC?
- The authorized official listed on South Windsor Perio, PLLC's NPPES record is Michael Kang, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Windsor Perio, PLLC's NPI active?
- Yes — South Windsor Perio, PLLC's NPI (1336832641) is active in the NPPES registry as of the last update on 2023-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.