Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750954608 Individual Practitioner Female Practitioner

Dr. Grace E Kwon , DMD

Dentist - Pediatric Dentistry • Dacula, GA

Professional Overview & Biography Verified Profile Summary

Dr. Grace Kwon, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Dacula, GA. Practice services are available at 3590 BRASELTON HWY STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3590 Braselton Hwy Ste 201

Dacula, GA 300191120

Telephone 6787147575
Associated Practice Facility / Clinic
🏢 Samuel S Kwon Dmd Pc Facility NPI 1457476608

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Dacula, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Dacula, GA (319 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: 2024-06-19
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License GA DN122329

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License GA DN122329

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.

Secondary Practice Locations

701 Park Ave

Minneapolis, MN 554151623

Phone: 6128733000

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Sam Kwon , DMD

Dentist - Pediatric Dentistry

NPI 1013054402

Doctor of Dental Medicine

NPI 1184932857

DENTALASSISTANT

Dr. Shaki Jameson , DMD

Dentist - Pediatric Dentistry

NPI 1306072533

Doctor of Dental Medicine

Dr. Thulasiswarnalatha Muppuru , DDS

Dentist - General Practice

NPI 1376856971

Doctor of Dental Surgery

Dr. Suhyun Rue , DMD

Dentist - Pediatric Dentistry

NPI 1619203049

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 19, 2024

Registered at 3590 BRASELTON HWY STE 201, DACULA, GA 300191120 (Tel: 6787147575)

📍
Updated Business Mailing Address June 19, 2024

Registered at 3590 BRASELTON HWY, DACULA, GA 300191117

📍
Updated Practice Location April 19, 2022

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623 (Tel: 6128733000)

📍
Updated Business Mailing Address April 19, 2022

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623

NPI Profile Active July 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2021

Registered at 3590 BRASELTON HWY STE 201, DACULA, GA 300191120 (Tel: 6787147575)

📍
Updated Business Mailing Address July 19, 2021

Registered at 3206 GREENWOOD OAK DR, NORCROSS, GA 300923510

👤
Provider Name / Credentials Updated July 19, 2021

Recorded as GRACE KWON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2021

Dentist (License #DN122329 in GA)

🟢
Initial NPI Registration & Enumeration July 19, 2021

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: 1750954608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2021
Last Update: June 19, 2024
Sole Proprietor: No

Mailing Address

3590 Braselton Hwy

Dacula, GA 300191117

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.