Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417478223 Individual Practitioner Female Practitioner

Dr. Jenise Kwak , DMD

Dentist - General Practice • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jenise Kwak, DMD is a registered healthcare professional specializing in Dentist - General Practice in Austin, TX. Practice services are available at 2800 S INTERSTATE 35 STE 500 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2800 S Interstate 35 Ste 500

Austin, TX 786818098

Telephone 5127260440

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
505 Specialists

Practicing in Austin, TX (10570 Statewide)

Telehealth Adoption Rate
0.2% 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: 2022-06-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 35014

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

3043 Main St # A

Glastonbury, CT 060331029

Phone: 8604304106

434 N Main St

East Longmeadow, MA 010281850

Phone: 4132738179

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Kanika Agarwal , DMD

Dentist - General Practice

NPI 1972111821

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 28, 2022

Registered at 2800 S INTERSTATE 35 STE 500, AUSTIN, TX 786818098 (Tel: 5127260440)

📍
Updated Business Mailing Address June 28, 2022

Registered at 2800 S INTERSTATE 35 STE 500, AUSTIN, TX 786818098

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2022

Dentist (License #35014 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #11851 in CT)

NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2017

Registered at 434 N MAIN ST, EAST LONGMEADOW, MA 010281850 (Tel: 4132738179)

📍
Updated Business Mailing Address June 30, 2017

Registered at 434 N MAIN ST, EAST LONGMEADOW, MA 010281850

👤
Provider Name / Credentials Updated June 30, 2017

Recorded as JENISE KWAK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2017

Dentist (License #DN1857671 in MA)

🟢
Initial NPI Registration & Enumeration June 30, 2017

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: 1417478223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2017
Last Update: June 28, 2022
Sole Proprietor: Yes

Mailing Address

2800 S Interstate 35 Ste 500

Austin, TX 786818098

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.