JESSICA KWON NPI 1043731433

NPI Information

NPI: 1043731433
Provider Name: JESSICA KWON
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1643 S SAN JACINTO AVE STE A
SAN JACINTO, CA
ZIP 92583
Phone: (951) 654-7744
Get Directions

Jessica Kwon is a pediatric dentistry dentist in San Jacinto, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Jessica Kwon NPI is 1043731433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1643 S SAN JACINTO AVE STE A
SAN JACINTO, CA
ZIP 92583-181
Phone: (951) 654-7744

The enumeration date for this NPI number is 7/6/2017 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	101510	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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