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Active NPI 1699384909 Individual Practitioner Male Practitioner

Dr. Brian C Kwon , DMD

Dentist - General Practice • State College, PA

Professional Overview & Biography Verified Profile Summary

Dr. Brian Kwon, DMD is a registered healthcare professional specializing in Dentist - General Practice in State College, PA. Practice services are available at 2014 SANDY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2014 Sandy Dr

State College, PA 168032515

Telephone 6103728406
Associated Practice Facility / Clinic
🏢 Kotary, Detar & Associates Facility NPI 1629094222

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in State College, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
31 Specialists

Practicing in State College, PA (4936 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: 2021-03-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS042820

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

8 Associated Practitioners
Dr. Abdul Kazi , DMD

Dentist - General Practice

NPI 1003657776

Doctor of Dental Medicine

Deanna Brugger

Dental Hygienist

NPI 1154004406
Dr. Jeffrey Grove , DMD

Dentist - General Practice

NPI 1184772881

Doctor of Dental Medicine

Dr. Dale Grove , DMD

Dentist - General Practice

NPI 1326196023

Doctor of Dental Medicine

Dr. Jeremy Olen , DMD

Dentist - General Practice

NPI 1396175741

Doctor of Dental Medicine

Dr. Muzamil Gufran , DDS

Dentist - Pediatric Dentistry

NPI 1679986194

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address March 08, 2021

Registered at 2014 SANDY DR, STATE COLLEGE, PA 168032515 (Tel: 2674412060)

NPI Profile Active July 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2020

Registered at 2014 SANDY DR, STATE COLLEGE, PA 168032515 (Tel: 6103728406)

📍
Updated Business Mailing Address July 23, 2020

Registered at 1324 LOCUST ST APT 911, PHILADELPHIA, PA 191075649 (Tel: 2674412060)

👤
Provider Name / Credentials Updated July 23, 2020

Recorded as BRIAN KWON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2020

Dentist (License #DS042820 in PA)

🟢
Initial NPI Registration & Enumeration July 23, 2020

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: 1699384909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2020
Last Update: March 08, 2021
Sole Proprietor: No

Mailing Address

2014 Sandy Dr

State College, PA 168032515

Phone: 2674412060

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.