ELSINORE MAIN STREET DENTAL
NPI 1740572197
Dentist in Lake Elsinore, CA

Active since May 04, 2011
141 N MAIN ST, LAKE ELSINORE, CA 92530(951) 245-5003(951) 471-0637 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elsinore Main Street Dental NPPES

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

ELSINORE MAIN STREET DENTAL (NPI 1740572197) is a healthcare organization registered as a dentist in Lake Elsinore, California and active in the NPI registry since May 2011. The organization lists Oh Jae Kwon, President, as its authorized official.

NPPES Registry Identity

NPI1740572197
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameOH JAE KWON, DDS, INC
Location Address141 N MAIN STLake Elsinore, CA 92530-4118
Mailing Address141 N Main StLake Elsinore, CA 92530-4118 · (951) 245-5003 · Fax (951) 471-0637
Fax(951) 471-0637
Organization SubpartNo
Authorized OfficialOh Jae KwonPresident · (909) 576-7175
Enumeration DateMay 4, 2011
Last NPPES UpdateJuly 6, 2016
NPI 1740572197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 46484
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.
141 N MAIN ST, Lake Elsinore, CA 92530

Other Names 1

Doing Business AsElsinore Main Street Dental

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

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Family Medicine
141 N MAIN ST
LAKE ELSINORE, CA 92530
Dentist
141 N MAIN ST
LAKE ELSINORE, CA 92530
Nurse Practitioner
141 N MAIN ST
LAKE ELSINORE, CA 92530
Dentist
141 N MAIN ST
LAKE ELSINORE, CA 92530

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 Oh Jae Kwon, Dds, Inc's NPI number?

The NPI number for Oh Jae Kwon, Dds, Inc is 1740572197. It was assigned to this organization in the NPPES registry on May 4, 2011. The provider is doing business as Elsinore Main Street Dental.

Where is Oh Jae Kwon, Dds, Inc located?

Oh Jae Kwon, Dds, Inc is located at 141 N Main St, Lake Elsinore, CA 92530. The listed phone number is (951) 245-5003.

What is Oh Jae Kwon, Dds, Inc's specialty?

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

What insurance does Oh Jae Kwon, Dds, Inc accept?

Health plans from UnitedHealthcare list Oh Jae Kwon, Dds, Inc 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 Oh Jae Kwon, Dds, Inc was last updated on July 6, 2016. 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.