SAMUEL S KWON DMD PC
NPI 1457476608
Dentist - Pediatric Dentistry in Dacula, GA

Q: What is Samuel S Kwon Dmd PC's NPI number?

The NPI number for Samuel S Kwon Dmd PC is 1457476608. It was assigned to this organization in the NPPES registry on March 20, 2007.

Q: What is Samuel S Kwon Dmd PC's specialty?

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

Active since March 20, 2007

3590 BRASELTON HWY, SUITE 201, DACULA, GA 30019(678) 714-7575(678) 714-7525 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samuel S Kwon Dmd Pc NPPES

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

SAMUEL S KWON DMD PC (NPI 1457476608) is a healthcare organization registered as a pediatric dentistry in Dacula, Georgia and active in the NPI registry since March 2007. The organization lists Samuel S. Kwon, Dentist, as its authorized official.

NPPES Registry Identity

NPI1457476608

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSAMUEL S KWON DMD PC

Location Address3590 BRASELTON HWY, SUITE 201Dacula, GA 30019-1117

Mailing Address3590 Braselton Hwy, Suite 201Dacula, GA 30019-1117 · (678) 714-7575 · Fax (678) 714-7525

Phone(678) 714-7575

Fax(678) 714-7525

Organization SubpartNo

Authorized OfficialSamuel S. KwonDentist · (678) 714-7575

Enumeration DateMarch 20, 2007

Last NPPES UpdateDecember 8, 2015

✔ NPI 1457476608 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.

3590 BRASELTON HWY, Dacula, GA 30019

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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

Other Providers at the Same Location NPPES

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

VAN DERHEI IMPLANT AND PROSTHETICS

Clinic/Center (Dental)

3590 BRASELTON HWY, STE 103
DACULA, GA 30019

Gwinnett County (678) 318-3353

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 Samuel S Kwon Dmd PC's NPI number?

The NPI number for Samuel S Kwon Dmd PC is 1457476608. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Samuel S Kwon Dmd PC located?

Samuel S Kwon Dmd PC is located at 3590 Braselton Hwy Suite 201, Dacula, GA 30019. The listed phone number is (678) 714-7575.

What is Samuel S Kwon Dmd PC'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 Samuel S Kwon Dmd PC was last updated on December 8, 2015. 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.