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JAE H. KWAK D.M.D.
NPI 1033668355
Dentist - Pediatric Dentistry in Tustin, CA

Active since September 28, 2016
1631 EDINGER AVE STE 105, TUSTIN, CA 92780(714) 717-3757 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2023, Jul 26, 2018, Sep 28, 2016 (3 updates tracked since 2016).

About Jae H. Kwak D.m.d. NPPES

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

JAE H. KWAK D.M.D. (NPI 1033668355) is an individual pediatric dentistry provider in Tustin, California, licensed in California (102524) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1033668355
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJAE H. KWAKCredential: D.M.D.
Location Address1631 EDINGER AVE STE 105Tustin, CA 92780-6537
Mailing Address24635 Madison AveMurrieta, CA 92562-9751 · (469) 449-3162
Phone(714) 717-3757
Sole ProprietorNo
Enumeration DateSeptember 28, 2016
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1033668355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 102524
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.
Also ListedDentistTaxonomy 122300000X · License 32379 (TX)
1631 EDINGER AVE STE 105, Tustin, CA 92780
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Accepted Insurance

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

Other Providers at the Same Location NPPES

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

JAE HEE KWAK DMD INC
Dentist (Pediatric Dentistry)
1631 EDINGER AVE STE 105
TUSTIN, CA 92780
Orange County (714) 717-3757

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 Jae Kwak's NPI number?

The NPI number for Jae Kwak is 1033668355. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Jae Kwak located?

Jae Kwak practices at 1631 Edinger Ave Ste 105, Tustin, CA 92780. The listed phone number is (714) 717-3757.

What is Jae Kwak's specialty?

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

What insurance does Jae Kwak accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Jae Kwak 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 Jae Kwak was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.