Active NPIIndividual providerSole proprietor

Dr. Junsoo Kwon, DMD

Dentist in Everett, Massachusetts

NPI Number1932650983
Practice location
439 Broadway, Everett, MA 02149-3612
Fax
617-944-9742
Last updated
October 19, 2018

Junsoo Kwon is a Dentist based in Everett, MA. Junsoo Kwon practices in Everett, MA and has the professional credentials of DMD. The NPI Number for Junsoo Kwon is 1932650983 and holds a License No. DN1857454 (MA). The current practice location address for Junsoo Kwon is 439 Broadway, Everett, MA 02149-3612 and can be reached out via phone at 617-944-9627 and via fax at 617-944-9742.

Provider Profile Details

NPI Number
1932650983
Provider Name
Junsoo Kwon
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
439 Broadway, Everett, MA 02149-3612
Phone Number
617-944-9627
Fax Number
617-944-9742
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
October 14, 2016
Last Update Date
October 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
439 Broadway
Everett, MA 02149-3612
Zip
02149-3612
Phone Number
617-944-9627
Fax Number
617-944-9742
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
439 Broadway
Everett, MA 02149-3612
City
Everett
State
MA
Zip
02149-3612
Phone Number
617-944-9627
Fax Number
617-944-9742

License Information

License Number
DN1857454
License State
MA
Taxonomy
Dentist · 122300000X · 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. Junsoo Kwon, DMD?

The NPI number of Dr. Junsoo Kwon, DMD is 1932650983. It was assigned on October 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Junsoo Kwon, DMD?

Dr. Junsoo Kwon, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1857454.

Where does Dr. Junsoo Kwon, DMD practice?

The practice location is 439 Broadway, Everett, MA 02149-3612. The office can be reached at 617-944-9627 (phone) or 617-944-9742 (fax).

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 1932650983 directly on the NPPES registry website.

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