Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JIAE KWON DDS PLLC
NPI 1770493082
Dentist - General Practice in Bainbridge Island, WA

Q: What is Jiae Kwon Dds PLLC's NPI number?

The NPI number for Jiae Kwon Dds PLLC is 1770493082. It was assigned to this organization in the NPPES registry on September 9, 2026. The provider is doing business as Rolling Bay Family Dental.

Q: What is Jiae Kwon Dds PLLC's specialty?

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

Active since September 09, 2026

730 ERICKSEN AVE NE STE 200, BAINBRIDGE ISLAND, WA 98110(206) 842-8686 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Jiae Kwon Dds Pllc NPPES

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

JIAE KWON DDS PLLC (NPI 1770493082), doing business as Rolling Bay Family Dental, is a healthcare organization registered as a general practice in Bainbridge Island, Washington and active in the NPI registry since September 2026. The organization lists Jiae Kwon, Member, as its authorized official.

NPPES Registry Identity

NPI1770493082

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJIAE KWON DDS PLLC

Location Address730 ERICKSEN AVE NE STE 200Bainbridge Island, WA 98110-2819

Mailing Address730 Ericksen Ave Ne Ste 200Bainbridge Island, WA 98110-2819 · (206) 842-8686

Phone(206) 842-8686

Organization SubpartNo

Authorized OfficialJiae KwonMember · (206) 369-7331

Enumeration DateSeptember 9, 2026

NPPES CertifiedSeptember 9, 2026

✔ NPI 1770493082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

730 ERICKSEN AVE NE STE 200, Bainbridge Island, WA 98110

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Other Names 1

Doing Business AsRolling Bay Family Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DR ANDREW L FISCUS DDS PC

Dentist

730 ERICKSEN AVE NE STE 200
BAINBRIDGE ISLAND, WA 98110

Kitsap County (206) 842-8686

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 Jiae Kwon Dds PLLC's NPI number?

The NPI number for Jiae Kwon Dds PLLC is 1770493082. It was assigned to this organization in the NPPES registry on September 9, 2026. The provider is doing business as Rolling Bay Family Dental.

Where is Jiae Kwon Dds PLLC located?

Jiae Kwon Dds PLLC is located at 730 Ericksen Ave NE Ste 200, Bainbridge Island, WA 98110. The listed phone number is (206) 842-8686.

What is Jiae Kwon Dds PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jiae Kwon Dds PLLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.