Active NPIIndividual providerSole proprietor

Dr. Jihae Kwon, DDS

Dentist, General Practice in Fort Lee, New Jersey

NPI Number1760898472
Practice location
2044 Center Ave, Fort Lee, NJ 07024-4930
Fax
—
Last updated
July 2, 2014

Jihae Kwon is a Dentist, General Practice based in Fort Lee, NJ. Jihae Kwon practices in Fort Lee, NJ and has the professional credentials of DDS. The NPI Number for Jihae Kwon is 1760898472 and holds a License No. 22DI02567000 (NJ). The current practice location address for Jihae Kwon is 2044 Center Ave, Fort Lee, NJ 07024-4930 and can be reached out via phone at 347-443-0982.

Provider Profile Details

NPI Number
1760898472
Provider Name
Jihae Kwon
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2044 Center Ave, Fort Lee, NJ 07024-4930
Phone Number
347-443-0982
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 2, 2014
Last Update Date
July 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2044 Center Ave
Fort Lee, NJ 07024-4930
Zip
07024-4930
Phone Number
347-443-0982
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
3439 Riverside Station Blvd
Secaucus, NJ 07094-4434
City
Secaucus
State
NJ
Zip
07094-4434
Phone Number
347-443-0982

License Information

License Number
22DI02567000
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 Dr. Jihae Kwon, DDS?

The NPI number of Dr. Jihae Kwon, DDS is 1760898472. It was assigned on July 2, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Jihae Kwon, DDS?

Dr. Jihae Kwon, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02567000.

Where does Dr. Jihae Kwon, DDS practice?

The practice location is 2044 Center Ave, Fort Lee, NJ 07024-4930. The office can be reached at 347-443-0982 (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 1760898472 directly on the NPPES registry website.

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