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SANG KWAK
NPI 1194964247
Dentist in Johns Creek, GA

Active since February 12, 2009PECOS Enrolled
7775 MCGINNIS FERRY RD STE 202, JOHNS CREEK, GA 30024(470) 719-0213 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2023, Mar 8, 2023, Dec 31, 2015 (3 updates tracked since 2015).

About Sang Kwak NPPES

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

SANG KWAK (NPI 1194964247) is an individual dentist in Johns Creek, Georgia, licensed in Georgia (013815) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194964247
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSANG KWAK
Location Address7775 MCGINNIS FERRY RD STE 202Johns Creek, GA 30024-4963
Mailing Address7775 Mcginnis Ferry Rd Ste 202Johns Creek, GA 30024-4963 · (470) 719-0213
Phone(470) 719-0213
Sole ProprietorNo
Enumeration DateFebruary 12, 2009
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1194964247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · 013815
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
7775 MCGINNIS FERRY RD STE 202, Johns Creek, GA 30024
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sang Kwak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sang Kwak's NPI number?

The NPI number for Sang Kwak is 1194964247. It was assigned to this individual provider in the NPPES registry on February 12, 2009.

Where is Sang Kwak located?

Sang Kwak practices at 7775 Mcginnis Ferry Rd Ste 202, Johns Creek, GA 30024. The listed phone number is (470) 719-0213.

What is Sang Kwak's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sang Kwak enrolled in Medicare?

Yes. Sang Kwak is registered in the Medicare PECOS enrollment system.

What insurance does Sang Kwak accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Sang 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 Sang Kwak was last updated on March 13, 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.