Samuel S Kwon Dmd Pc in Dacula - Pediatric Dentistry
Samuel S Kwon Dmd Pc - NPI 1457476608
Samuel S Kwon Dmd Pc is a Pediatric Dentistry in Dacula, Georgia. Samuel S Kwon Dmd Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Samuel S Kwon Dmd Pc is 1457476608. The last update date is 2015-12-08.
Samuel S Kwon Dmd Pc's current location address is 3590 Braselton Hwy, Dacula, Georgia. You can contact this provider via phone number 6787147575 and fax number 6787147525. The mailing address for Samuel S Kwon Dmd Pc is 3590 Braselton Hwy, Dacula, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Samuel S Kwon Dmd Pc |
|---|---|
| Address | 3590 Braselton Hwy, Dacula, Georgia |
| Phone Number | 6787147575 |
| Fax Number | 6787147525 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Kwon S. Samuel |
| Credentials | D.M.D. |
| Telephone Number | 6787147575 |
NPI Number Detail
| NPI Number | 1457476608 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2015-12-08 |
Provider Mailing Address Detail
| Address | 3590 Braselton Hwy |
|---|---|
| City | Dacula |
| State | Georgia (GA) |
| Post Code | 300191117 |
| Phone Number | 6787147575 |
| Fax Number | 6787147525 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN012637 |
|
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. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Samuel S Kwon Dmd Pc by the Centers for Medicare & Medicaid Services?
The Samuel S Kwon Dmd Pc has been assigned the NPI (National Provider Identifier) 1457476608 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Samuel S Kwon Dmd Pc's facilities are geographically located?
The facilities of Samuel S Kwon Dmd Pc are physically situated at the following location: 3590 Braselton Hwy, Dacula, GA, 300191117.
What is Samuel S Kwon Dmd Pc's area of expertise and its corresponding taxonomy classification?
The Samuel S Kwon Dmd Pc's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Samuel S Kwon Dmd Pc receive the assignment of its 1457476608 from the Centers for Medicare & Medicaid Services?
The Samuel S Kwon Dmd Pc was issued its 1457476608 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information related to Samuel S Kwon Dmd Pc most recently updated or refreshed?
The details pertaining to the Samuel S Kwon Dmd Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-08.