GAE WON KWON DDS NPI 1649689704

NPI Information

NPI: 1649689704
Provider Name: GAE WON KWON, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
1901 CALLE DE NINOS
LAS CRUCES, NM
ZIP 88005
Phone: (575) 526-5522
Get Directions

Gae Won Kwon, DDS is a pediatric dentistry dentist in Las Cruces, NM. 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. Gae Won Kwon, DDS NPI is 1649689704. 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:

1901 CALLE DE NINOS
LAS CRUCES, NM
ZIP 88005-293
Phone: (575) 526-5522

The NPI 1649689704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/3/2014 and was last updated on 11/10/2022.

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	1223G0001X	Dentist	General Practice	DS040063	PENNSYLVANIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	DD5471	NEW MEXICO	No
3	1223P0221X	Dentist	Pediatric Dentistry	DE.61294850	WASHINGTON	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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