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● Active Type 1 · Individual

Dr. Euiyoung Kwak, DMD

General Practice (Dentist)·Hiram, GA· NPI 1003461559 · Enumerated 2019 · 7 years on NPI
Kwak is 1 of 15 general practice (dentist) providers in Hiram and 1 of 4,429 in Georgia.
NPI age
7 years
Enumerated 2019-08-01
Primary specialty
General Practice (Dentist)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-01
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4429 active general practice (dentist) providers in Georgia.

NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2019 → 2019

2019-08Enumerated in NPPES
2019 2019

Where they practice

Practice location
4373 Jimmy Lee Smith Pkwy Ste 105
Hiram, GA 301412642
📞 6782249244
Mailing address
2217 Lake Park Dr Se Apt M
Smyrna, GA 300808975
📞 9546047343

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DN015936 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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