SAMUEL S KWON - FLOWERY BRANCH DMD PC
NPI 1629442074
Dentist - Pediatric Dentistry in Flowery Branch, GA

Active since November 23, 2015
4009 WINDER HWY, SUITE 200, FLOWERY BRANCH, GA 30542(678) 714-7575(678) 714-7525 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2015, Nov 23, 2015 (2 updates tracked since 2015).

About Samuel S Kwon - Flowery Branch Dmd Pc NPPES

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

SAMUEL S KWON - FLOWERY BRANCH DMD PC (NPI 1629442074) is a healthcare organization registered as a pediatric dentistry in Flowery Branch, Georgia and active in the NPI registry since November 2015. The organization lists Samuel S Kwon, Owner, as its authorized official.

NPPES Registry Identity

NPI1629442074
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSAMUEL S KWON - FLOWERY BRANCH DMD PC
Location Address4009 WINDER HWY, SUITE 200Flowery Branch, GA 30542-6555
Mailing Address3590 Braselton Hwy, Suite 201Dacula, GA 30019-1117 · (678) 714-7575 · Fax (678) 714-7525
Fax(678) 714-7525
Organization SubpartNo
Authorized OfficialSamuel S KwonOwner · (678) 714-7575
Enumeration DateNovember 23, 2015
Last NPPES UpdateDecember 2, 20152 updates tracked since enumeration
NPI 1629442074 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.
4009 WINDER HWY, Flowery Branch, GA 30542

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 Samuel S Kwon - Flowery Branch Dmd PC's NPI number?

The NPI number for Samuel S Kwon - Flowery Branch Dmd PC is 1629442074. It was assigned to this organization in the NPPES registry on November 23, 2015.

Where is Samuel S Kwon - Flowery Branch Dmd PC located?

Samuel S Kwon - Flowery Branch Dmd PC is located at 4009 Winder Hwy Suite 200, Flowery Branch, GA 30542. The listed phone number is (678) 714-7575.

What is Samuel S Kwon - Flowery Branch 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 - Flowery Branch Dmd PC was last updated on December 2, 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.