- Practice location
- 2800 S Interstate 35 Ste 500, Austin, TX 78681-8098
- Phone
- 512-726-0440
- Fax
- —
- Last updated
- June 28, 2022
Jenise Kwak is a Dentist, General Practice based in Austin, TX. Jenise Kwak practices in Austin, TX and has the professional credentials of DMD. The NPI Number for Jenise Kwak is 1417478223 and holds a License No. 35014 (TX). The current practice location address for Jenise Kwak is 2800 S Interstate 35 Ste 500, Austin, TX 78681-8098 and can be reached out via phone at 512-726-0440.
Provider Profile Details
- NPI Number
- 1417478223
- Provider Name
- Jenise Kwak
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2800 S Interstate 35 Ste 500, Austin, TX 78681-8098
- Phone Number
- 512-726-0440
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 30, 2017
- Last Update Date
- June 28, 2022
- Certification Date
- June 28, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2800 S Interstate 35 Ste 500
Austin, TX 78681-8098 - City
- Austin
- State
- Texas
- Zip
- 78681-8098
- Phone Number
- 512-726-0440
Provider Business Mailing Address Details
- Address
- 2800 S Interstate 35 Ste 500
Austin, TX 78681-8098 - City
- Austin
- State
- TX
- Zip
- 78681-8098
License Information
- License Number
- 35014
- License State
- TX
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Jenise Kwak, DMD?
The NPI number of Dr. Jenise Kwak, DMD is 1417478223. It was assigned on June 30, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Jenise Kwak, DMD?
Dr. Jenise Kwak, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in TX under license number 35014.
Where does Dr. Jenise Kwak, DMD practice?
The practice location is 2800 S Interstate 35 Ste 500, Austin, TX 78681-8098. The office can be reached at 512-726-0440 (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 1417478223 directly on the NPPES registry website.