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Active NPI 1851666903 Organization (Entity Type 2)

Kwon Dentistry, Llc

Dentist - General Practice • Gresham, OR

About Kwon Dentistry, Llc NPI 1851666903 Summary

Kwon Dentistry, Llc is a verified healthcare organization specializing in Dentist - General Practice operating in Gresham, OR. Located at 1201 SE 223RD AVE STE 260, this facility provides patient care and medical services under National Provider Identifier (NPI) 1851666903.

Administrative operations and authorized compliance are overseen by Robin Kwon (Dentist / Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1201 Se 223rd Ave Ste 260

Gresham, OR 970302580

Telephone 5036612828

Fax 5036189874

Authorized Official Information

Authorized Contact Name

DR. Robin Kwon , D.D.S.

Title / Role

Dentist / Owner

Official Telephone

5036612828

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Dr. Isaac Hanset , DMD NPI 1184223166

Dentist - General Practice

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events

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Updated Practice Location March 15, 2021

Registered at 1201 SE 223RD AVE STE 260, GRESHAM, OR 970302580 (Tel: 5036612828)

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Updated Business Mailing Address March 15, 2021

Registered at 1201 SE 223RD AVE STE 260, GRESHAM, OR 970302580 (Tel: 5036612828)

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NPI Profile Active March 21, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 21, 2012

Registered at 1201 SE 223RD AVE, SUITE 120, GRESHAM, OR 970302574 (Tel: 5036612828)

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Updated Business Mailing Address March 21, 2012

Registered at 1201 SE 223RD AVE, SUITE 120, GRESHAM, OR 970302574 (Tel: 5036612828)

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Organization / Clinic Name Updated March 21, 2012

Operating as KWON DENTISTRY, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2012

Dentist

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Initial NPI Registration & Enumeration March 21, 2012

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1851666903

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: March 21, 2012

Last Update: March 15, 2021

Update or Correct Listing

Mailing Address

1201 Se 223rd Ave Ste 260

Gresham, OR 970302580

Phone: 5036612828

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.