SAN DIEGO PERIODONTICS & IMPLANT DENTISTRY
NPI 1073966057
Dentist - Periodontics in San Diego, CA

Q: What is Kennie Kwok Dmd, Inc's NPI number?

The NPI number for Kennie Kwok Dmd, Inc is 1073966057. It was assigned to this organization in the NPPES registry on July 14, 2016. The provider is doing business as San Diego Periodontics & Implant Dentistry.

Q: What is Kennie Kwok Dmd, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since July 14, 2016

4060 4TH AVE STE 303, SAN DIEGO, CA 92103(619) 543-0905 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About San Diego Periodontics & Implant Dentistry NPPES

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

SAN DIEGO PERIODONTICS & IMPLANT DENTISTRY (NPI 1073966057) is a healthcare organization registered as a periodontics in San Diego, California and active in the NPI registry since July 2016. The organization lists Kennie Kwok, President, as its authorized official.

NPPES Registry Identity

NPI1073966057

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameKENNIE KWOK DMD, INC

Location Address4060 4TH AVE STE 303San Diego, CA 92103-2120

Mailing Address4060 4th Ave Ste 303San Diego, CA 92103-2120

Phone(619) 543-0905

Organization SubpartNo

Authorized OfficialKennie KwokPresident · (619) 543-0905

Enumeration DateJuly 14, 2016

✔ NPI 1073966057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CA · 65162

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

4060 4TH AVE STE 303, San Diego, CA 92103

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Other Names 1

Doing Business AsSan Diego Periodontics & Implant Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kennie Kwok Dmd, Inc's NPI number?

The NPI number for Kennie Kwok Dmd, Inc is 1073966057. It was assigned to this organization in the NPPES registry on July 14, 2016. The provider is doing business as San Diego Periodontics & Implant Dentistry.

Where is Kennie Kwok Dmd, Inc located?

Kennie Kwok Dmd, Inc is located at 4060 4th Ave Ste 303, San Diego, CA 92103. The listed phone number is (619) 543-0905.

What is Kennie Kwok Dmd, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Kennie Kwok Dmd, Inc was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.