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Active NPI 1760963904 Individual Practitioner Female Practitioner

Dr. So Dam Kwon , DDS

Dentist - General Practice • Frisco, TX

Professional Overview & Biography Verified Profile Summary

Dr. So Dam Kwon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Frisco, TX. Practice services are available at 5404 PRESTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5404 Preston Rd

Frisco, TX 750347471

Telephone 9729639104

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Frisco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
100 Specialists

Practicing in Frisco, TX (10570 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: 2021-03-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 36189

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 - Dental Public Health

NUCC Taxonomy Code: 1223D0001X

State License AL NOTYET

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2246 Winchester Rd Ne

Huntsville, AL 358116800

Phone: 2568598066

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 23, 2021

Registered at 5404 PRESTON RD, FRISCO, TX 750347471 (Tel: 9729639104)

📍
Updated Business Mailing Address March 23, 2021

Registered at 7200 DALLAS PKWY APT 1725, PLANO, TX 750245035 (Tel: 7078536226)

NPI Profile Active August 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2018

Registered at 2246 WINCHESTER RD NE, HUNTSVILLE, AL 358116800 (Tel: 2568598066)

📍
Updated Business Mailing Address August 26, 2018

Registered at 100 7TH ST SW, CULLMAN, AL 350554234

👤
Provider Name / Credentials Updated August 26, 2018

Recorded as SO DAM KWON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2018

Dentist (License #NOTYET in AL)

🟢
Initial NPI Registration & Enumeration August 26, 2018

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: 1760963904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2018
Last Update: March 23, 2021
Sole Proprietor: No

Mailing Address

7200 Dallas Pkwy Apt 1725

Plano, TX 750245035

Phone: 7078536226

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.