SAMUEL S KWON - LOGANVILLE DMD PC
NPI 1689049330
Dentist - Pediatric Dentistry in Loganville, GA

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

The NPI number for Samuel S Kwon - Loganville Dmd PC is 1689049330. It was assigned to this organization in the NPPES registry on December 7, 2015.

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

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

Active since December 07, 2015

2101 BAKER CARTER DRIVE, SUITE 200, LOGANVILLE, GA 30052(678) 714-7575(678) 714-7525 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel S Kwon - Loganville Dmd Pc NPPES

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

SAMUEL S KWON - LOGANVILLE DMD PC (NPI 1689049330) is a healthcare organization registered as a pediatric dentistry in Loganville, Georgia and active in the NPI registry since December 2015. The organization lists Samuel S Kwon, Owner, as its authorized official.

NPPES Registry Identity

NPI1689049330

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSAMUEL S KWON - LOGANVILLE DMD PC

Location Address2101 BAKER CARTER DRIVE, SUITE 200Loganville, GA 30052

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 KwonOwner · (678) 714-7575

Enumeration DateDecember 7, 2015

✔ NPI 1689049330 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 · DN012687

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.

2101 BAKER CARTER DRIVE, Loganville, GA 30052

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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

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 - Loganville Dmd PC's NPI number?

The NPI number for Samuel S Kwon - Loganville Dmd PC is 1689049330. It was assigned to this organization in the NPPES registry on December 7, 2015.

Where is Samuel S Kwon - Loganville Dmd PC located?

Samuel S Kwon - Loganville Dmd PC is located at 2101 Baker Carter Drive Suite 200, Loganville, GA 30052. The listed phone number is (678) 714-7575.

What is Samuel S Kwon - Loganville 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 - Loganville Dmd PC was last updated on December 7, 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.