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DR. SO DAM KWON DDS
NPI 1760963904
Dentist - General Practice in Frisco, TX

Active since August 26, 2018
5404 PRESTON RD, FRISCO, TX 75034(972) 963-9104 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2021, Aug 26, 2018 (2 updates tracked since 2018).

About Dr. So Dam Kwon Dds NPPES

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

DR. SO DAM KWON DDS (NPI 1760963904) is an individual general practice provider in Frisco, Texas, licensed in Texas (36189) and active in the NPI registry since August 2018. She maintains a secondary practice location in Huntsville.

NPPES Registry Identity

NPI1760963904
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SO DAM KWONCredential: DDS
Location Address5404 PRESTON RDFrisco, TX 75034-7471
Mailing Address7200 Dallas Pkwy Apt 1725Plano, TX 75024-5035 · (707) 853-6226
Phone(972) 963-9104
Sole ProprietorNo
Enumeration DateAugust 26, 2018
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1760963904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 36189
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License NOTYET (AL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5404 PRESTON RD, Frisco, TX 75034
Open in Google Maps ↗

Secondary Practice Location 1

Location 12246 Winchester Rd NEHuntsville, AL 35811-6800 · Phone (256) 859-8066

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 ›

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 So Dam Kwon's NPI number?

The NPI number for So Dam Kwon is 1760963904. It was assigned to this individual provider in the NPPES registry on August 26, 2018.

Where is So Dam Kwon located?

So Dam Kwon practices at 5404 Preston Rd, Frisco, TX 75034. The listed phone number is (972) 963-9104.

What is So Dam Kwon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does So Dam Kwon 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 Delta Dental PPO and 7 other insurers list So Dam Kwon 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 So Dam Kwon was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.