Kajonwud Shane Chongulia is a Groton, Connecticut based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kajonwud Shane Chongulia is
22DI03172600 for General Practice Dentistry in New Jersey. His current practice location is
1 Wahoo Ave, Groton. Patients can reach him at
860-694-3736.
Kajonwud Shane Chongulia is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kajonwud Shane Chongulia speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kajonwud Shane Chongulia |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1 Wahoo Ave, Groton,
Connecticut, 06349-2324 |
| Phone: | 860-694-3736 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1679491294 |
| NPI Enumeration Date: | 09 Jul, 2026 |
| NPI Last Update On: | 18 Aug, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kajonwud Shane Chongulia are as mentioned below.
| License Number | Specialization | State | Status | |
| 22DI03172600 | General Practice Dentistry | New Jersey | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 600,
Groton, Connecticut |
| Zip: | 06349-5600 |
| Phone Number: | 860-694-3736 |
Patients can reach Kajonwud Shane Chongulia at
1 Wahoo Ave, Groton, Connecticut or can
call to book an appointment on 860-694-3736.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
14 September, 2026.