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Active NPI 1437112380 Individual Practitioner Male Practitioner

Dr. Min Chul Kwon , DDS

Dentist - General Practice • Granger, IN

Professional Overview & Biography Verified Profile Summary

Dr. Min Chul Kwon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Granger, IN. Practice services are available at 6910 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6910 N Main St
Unit 6b

Granger, IN 465309681

Telephone 5742472521
Associated Practice Facility / Clinic
🏢 Quality Care Pediatrics Facility NPI 1629086038

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Granger, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Granger, IN (2204 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12011206

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MI 17583

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Maurice Phillips

Social Worker

NPI 1215851837
NPI 1285711366

Doctor of Chiropractic

Bonnie Mark

Massage Therapist

NPI 1407676828
Melissa Karasek , LMT

Massage Therapist

NPI 1497529267

Licensed Massage Therapist

Christina White , CMT

Massage Therapist

NPI 1649451808

Certified Massage Therapist

NPI 1710187422

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2017

Registered at 6910 N MAIN ST, UNIT 6B, GRANGER, IN 465309681 (Tel: 5742472521)

📍
Updated Business Mailing Address April 27, 2017

Registered at 6910 N MAIN ST, UNIT 6B, GRANGER, IN 465309681 (Tel: 5742472521)

👤
Provider Name / Credentials Updated April 27, 2017

Recorded as MIN CHUL KWON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Dentist (License #17583 in MI)

NPI Profile Active February 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2011

Registered at 6910 N MAIN ST, UNIT 46 BUILDING 6, GRANGER, IN 465309680 (Tel: 5742472521)

📍
Updated Business Mailing Address February 24, 2011

Registered at 6910 N MAIN ST, UNIT 46, BUILDING 6, GRANGER, IN 465309680 (Tel: 5742472521)

👤
Provider Name / Credentials Updated February 24, 2011

Recorded as MIN CHUL KWON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2011

Dentist (License #12011206 in IN)

🟢
Initial NPI Registration & Enumeration April 11, 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: 1437112380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: April 27, 2017
Sole Proprietor: Yes

Mailing Address

6910 N Main St, Unit 6b

Granger, IN 465309681

Phone: 5742472521

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.