NPI age
5 years
Enumerated 2020-08-17
● Active Type 2 · Organization
Samuel S Kwon - Athens DMD Pc
Samuel S Kwon - Athens DMD Pc is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Maguire
Credentialing Coordinator
Last NPPES update
2020-08-17
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
5 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1795 Resurgence Drive, Suite 101
Watkinsville, GA 30677
Mailing address
1795 Resurgence Drive, Suite 101
Watkinsville, GA 30677
Authorized official
Deanna Maguire
Credentialing Coordinator
📞 6787147575
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
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 539 Dentist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.