Kwon Pediatric Dentistry

LBN: Samuel S. Kwon,Dmd-Iv Center Pc
Kwon Pediatric Dentistry is an health care organization with primary practice located at 3590 Braselton Hwy Bldg B Ste 100, Dacula GA 30019-1117. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Samuel S. Kwon,Dmd-Iv Center Pc can be contacted via phone (678) 714-7575, or through Salmon, Renee via phone (678) 714-7575.

Contact Information

Primary practice address
3590 Braselton Hwy Bldg B Ste 100 Dacula GA 30019-1117
Phone: (678) 714-7575
Fax: (678) 714-7525
Website:
Map and Directions
Authorized official contact:
Name: Salmon, Renee
Phone: (678) 714-7575

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1538692314
LBN Legal business name Samuel S. Kwon,Dmd-Iv Center Pc
DBA Doing business as Kwon Pediatric Dentistry
Authorized official Salmon, Renee
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 7th, 2017
Last updated Apr 11th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538692314 NPPES
Georgia MEDICAID 724916844C

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