1. Home
  2. Directory
  3. Georgia
  4. Dacula
  5. Dentist
  6. NPI Profile

SAM S KWON DMD
NPI 1013054402
Dentist - Pediatric Dentistry in Dacula, GA

Active since February 01, 2007
3635 BRASELTON HWY, SUITE C, DACULA, GA 30019(678) 714-7575(678) 714-7525 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sam S Kwon Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM S KWON DMD (NPI 1013054402) is an individual pediatric dentistry provider in Dacula, Georgia, licensed in Georgia (DN012637) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1013054402
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameSAM S KWONCredential: DMD
Location Address3635 BRASELTON HWY, SUITE CDacula, GA 30019-1068
Mailing Address4731 Cambridge TrceAtlanta, GA 30338-5252
Phone(678) 714-7575
Fax(678) 714-7525
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013054402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN012637
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3635 BRASELTON HWY, Dacula, GA 30019
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NICHELLE MARIE YOUNG DENTAL ASSISTANT
Dental Assistant
3635 BRASELTON HWY, SUITE C
DACULA, GA 30019
Gwinnett County (678) 714-7575
NEUROPATHY WELLNESS SPECIALISTS, LLC
General Practice
3635 BRASELTON HWY, SUITE C
DACULA, GA 30019
Gwinnett County (470) 238-3050
BRIGHT HORIZON IMAGING LLC
Clinic/Center (Radiology)
3635 BRASELTON HWY, SUITE A
DACULA, GA 30019
Gwinnett County (866) 860-2576
N8 HEALTH, LLC
Chiropractor
3635 BRASELTON HWY, SUITE B2
DACULA, GA 30019
Gwinnett County (770) 614-9444
MRS. CORAL ELIZABETH QUINN PERNICIARO D.P.T.
Physical Therapist
3635 BRASELTON HWY, SUITE C
DACULA, GA 30019
Gwinnett County (770) 932-4332
DR. NICHOLAS THOMAS TEDDER D.C
Chiropractor
3635 BRASELTON HWY, SUITE B-2
DACULA, GA 30019
Gwinnett County (770) 614-9444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Kwon's NPI number?

The NPI number for Sam Kwon is 1013054402. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Sam Kwon located?

Sam Kwon practices at 3635 Braselton Hwy Suite C, Dacula, GA 30019. The listed phone number is (678) 714-7575.

What is Sam Kwon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Sam Kwon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Sam Kwon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sam Kwon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.