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JAE HEE KWAK DMD INC
NPI 1174212740
Dentist - Pediatric Dentistry in Tustin, CA

Active since May 01, 2023
1631 EDINGER AVE STE 105, TUSTIN, CA 92780(714) 717-3757 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jae Hee Kwak Dmd Inc NPPES

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

JAE HEE KWAK DMD INC (NPI 1174212740) is a healthcare organization registered as a pediatric dentistry in Tustin, California and active in the NPI registry since May 2023. The organization lists Jae Kwak, President, as its authorized official.

NPPES Registry Identity

NPI1174212740
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJAE HEE KWAK DMD INC
Location Address1631 EDINGER AVE STE 105Tustin, CA 92780-6537
Mailing Address1631 Edinger Ave Ste 105Tustin, CA 92780-6537 · (714) 717-3757
Phone(714) 717-3757
Organization SubpartNo
Authorized OfficialJae KwakPresident · (469) 449-3162
Enumeration DateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1174212740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
1631 EDINGER AVE STE 105, Tustin, CA 92780
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 H. KWAK D.M.D.
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 Hee Kwak Dmd Inc's NPI number?

The NPI number for Jae Hee Kwak Dmd Inc is 1174212740. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Jae Hee Kwak Dmd Inc located?

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

What is Jae Hee Kwak Dmd Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Jae Hee Kwak Dmd Inc was last updated on May 1, 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.