SAMUEL S KWON - ATHENS DMD PC
NPI 1912518531
Dentist - Pediatric Dentistry in Watkinsville, GA

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

The NPI number for Samuel S Kwon - Athens Dmd PC is 1912518531. It was assigned to this organization in the NPPES registry on August 17, 2020.

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

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

Active since August 17, 2020

1795 RESURGENCE DRIVE, SUITE 101, WATKINSVILLE, GA 30677(678) 714-7575(678) 804-9434 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Samuel S Kwon - Athens Dmd Pc NPPES

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

SAMUEL S KWON - ATHENS DMD PC (NPI 1912518531) is a healthcare organization registered as a pediatric dentistry in Watkinsville, Georgia and active in the NPI registry since August 2020. The organization lists Deanna Maguire, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1912518531

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSAMUEL S KWON - ATHENS DMD PC

Location Address1795 RESURGENCE DRIVE, SUITE 101Watkinsville, GA 30677

Mailing Address1795 Resurgence Drive, Suite 101Watkinsville, GA 30677 · (678) 714-7575 · Fax (678) 804-9434

Phone(678) 714-7575

Fax(678) 804-9434

Organization SubpartNo

Authorized OfficialDeanna MaguireCredentialing Coordinator · (678) 714-7575

Enumeration DateAugust 17, 2020

NPPES CertifiedAugust 17, 2020

✔ NPI 1912518531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

1795 RESURGENCE DRIVE, Watkinsville, GA 30677

Open in Google Maps ↗

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 - Athens Dmd PC's NPI number?

The NPI number for Samuel S Kwon - Athens Dmd PC is 1912518531. It was assigned to this organization in the NPPES registry on August 17, 2020.

Where is Samuel S Kwon - Athens Dmd PC located?

Samuel S Kwon - Athens Dmd PC is located at 1795 Resurgence Drive Suite 101, Watkinsville, GA 30677. The listed phone number is (678) 714-7575.

What is Samuel S Kwon - Athens 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 - Athens Dmd PC was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.