Active NPIIndividual provider

Dr. Peter Tae-Jin Kwon, DMD

Dentist, Periodontics in Malden, Massachusetts

NPI Number1326121492
Practice location
225 Centre St, Malden, MA 02148-5524
Fax
—
Last updated
July 8, 2007

Peter Tae-Jin Kwon is a Dentist, Periodontics based in Malden, MA. Peter Tae-Jin Kwon practices in Malden, MA and has the professional credentials of DMD. The NPI Number for Peter Tae-Jin Kwon is 1326121492 and holds a License No. 19754 (MA). The current practice location address for Peter Tae-Jin Kwon is 225 Centre St, Malden, MA 02148-5524 and can be reached out via phone at 781-324-3200.

Provider Profile Details

NPI Number
1326121492
Provider Name
Peter Tae-Jin Kwon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
225 Centre St, Malden, MA 02148-5524
Phone Number
781-324-3200
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
October 23, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Centre St
Malden, MA 02148-5524
City
Malden
Zip
02148-5524
Phone Number
781-324-3200
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
170 Tremont St
Unit 404
Boston, MA 02111-1131
City
Boston
State
MA
Zip
02111-1131

License Information

License Number
19754
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

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 Dr. Peter Tae-Jin Kwon, DMD?

The NPI number of Dr. Peter Tae-Jin Kwon, DMD is 1326121492. It was assigned on October 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter Tae-Jin Kwon, DMD?

Dr. Peter Tae-Jin Kwon, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 19754.

Where does Dr. Peter Tae-Jin Kwon, DMD practice?

The practice location is 225 Centre St, Malden, MA 02148-5524. The office can be reached at 781-324-3200 (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 1326121492 directly on the NPPES registry website.

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