Active NPIIndividual provider

Soon M Kwon, DMD

Dentist, Pediatric Dentistry in Bronx, New York

NPI Number1194984773
Practice location
234 E 149TH St, Bronx, NY 10451-5504
Fax
—
Last updated
November 19, 2024

Soon M Kwon is a Dentist, Pediatric Dentistry based in Bronx, NY. Soon M Kwon practices in Bronx, NY and has the professional credentials of DMD. The NPI Number for Soon M Kwon is 1194984773 and holds a License No. 055964 (NY). The current practice location address for Soon M Kwon is 234 E 149TH St, Bronx, NY 10451-5504 and can be reached out via phone at 718-579-5000.

Provider Profile Details

NPI Number
1194984773
Provider Name
Soon M Kwon
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
234 E 149TH St, Bronx, NY 10451-5504
Phone Number
718-579-5000
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2008
Last Update Date
November 19, 2024
Certification Date
November 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
234 E 149TH St
Bronx, NY 10451-5504
City
Bronx
Zip
10451-5504
Phone Number
718-579-5000
Bronx, NY 10451Get directions →

Provider Business Mailing Address Details

Address
234 E 149TH St
Bronx, NY 10451-5504
City
Bronx
State
NY
Zip
10451-5504
Phone Number
718-579-5000

License Information

License Number (1)
055964
License State (1)
NY
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X · Primary
License Number (2)
10769
License State (2)
CT
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Soon M Kwon, DMD?

The NPI number of Soon M Kwon, DMD is 1194984773. It was assigned on June 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Soon M Kwon, DMD?

Soon M Kwon, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 055964.

Where does Soon M Kwon, DMD practice?

The practice location is 234 E 149TH St, Bronx, NY 10451-5504. The office can be reached at 718-579-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194984773 directly on the NPPES registry website.

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