Active NPIIndividual provider

Soochung K Kwak, DMD

Dentist, General Practice in Palisades Park, New Jersey

NPI Number1689929341
Practice location
525 Glen Ave, Palisades Park, NJ 07650-1805
Fax
—
Last updated
July 18, 2012

Soochung Karen Kwak is a Dentist, General Practice based in Palisades Park, NJ. Soochung Karen Kwak practices in Palisades Park, NJ and has the professional credentials of DMD. The NPI Number for Soochung Karen Kwak is 1689929341 and holds a License No. 22DI02505400 (NJ). The current practice location address for Soochung Karen Kwak is 525 Glen Ave, Palisades Park, NJ 07650-1805 and can be reached out via phone at 201-995-7070.

Provider Profile Details

NPI Number
1689929341
Provider Name
Soochung Karen Kwak
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
525 Glen Ave, Palisades Park, NJ 07650-1805
Phone Number
201-995-7070
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2012
Last Update Date
July 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Glen Ave
Palisades Park, NJ 07650-1805
Zip
07650-1805
Phone Number
201-995-7070
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
525 Glen Ave
Palisades Park, NJ 07650-1805
City
Palisades Park
State
NJ
Zip
07650-1805
Phone Number
201-995-7070

License Information

License Number
22DI02505400
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Soochung K Kwak, DMD?

The NPI number of Soochung K Kwak, DMD is 1689929341. It was assigned on July 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Soochung K Kwak, DMD?

Soochung K Kwak, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02505400.

Where does Soochung K Kwak, DMD practice?

The practice location is 525 Glen Ave, Palisades Park, NJ 07650-1805. The office can be reached at 201-995-7070 (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 1689929341 directly on the NPPES registry website.

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