NPI age
19 years
Enumerated 2007-02-01
● Active
Type 1 · Individual
Sam S Kwon, DMD
Kwon is 1 of 12 dentist providers in Dacula and 1 of 539 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 539 active dentist providers in Georgia.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
3635 Braselton Hwy, Suite C
Dacula, GA 300191068
Mailing address
4731 Cambridge Trce
Atlanta, GA 303385252
Specialties
-
Dentist PrimaryAn 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.
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.