Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972576866 Individual Practitioner Male Practitioner

Dr. Oh Jae Kwon , DDS

Dentist • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Oh Kwon, DDS is a registered healthcare professional specializing in Dentist in Riverside, CA. Practice services are available at 9939 MAGNOLIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9939 Magnolia Ave

Riverside, CA 925033528

Telephone 9515885600
Fax 9515885603
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
151 Specialists

Practicing in Riverside, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-15
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 46484

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Lissette Lopez , PA-C

Physician Assistant

NPI 1003157041

Physician Assistant (Certified)

Rodolfo Rojas

Family Medicine

NPI 1053686865
NPI 1063788255

Doctor of Osteopathic Medicine (D.O.)

NPI 1154499291

Doctor of Dental Surgery

Noel Santamaria , PA

Physician Assistant

NPI 1184075921

Physician Assistant

Dr. Farnoosh Qadri , MD

Obstetrics & Gynecology

NPI 1215467717

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated June 15, 2022

Recorded as OH KWON, DDS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9939 MAGNOLIA AVE, RIVERSIDE, CA 925033528 (Tel: 9515885600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9939 MAGNOLIA AVE, RIVERSIDE, CA 925033528 (Tel: 9515885600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as OHJAE KWON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #46484 in CA)

🟢
Initial NPI Registration & Enumeration February 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972576866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2006
Last Update: June 15, 2022
Sole Proprietor: No

Mailing Address

9939 Magnolia Ave

Riverside, CA 925033528

Phone: 9515885600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.