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Active NPI 1699482067 Organization (Entity Type 2)

Hyun Kwon Dds Pllc

Dentist - General Practice • Bothell, WA

About Hyun Kwon Dds Pllc NPI 1699482067 Summary

Hyun Kwon Dds Pllc is a verified healthcare organization specializing in Dentist - General Practice operating in Bothell, WA. Located at 18204 BOTHELL EVERETT HWY STE E, this facility provides patient care and medical services under National Provider Identifier (NPI) 1699482067.

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

Facility Location & Contact Primary Location

Facility Address

18204 Bothell Everett Hwy Ste E

Bothell, WA 980126869

Telephone 4258060077
Fax 4258060075

Authorized Official Information

Authorized Contact Name

DR. Hyun Kwon , DDS

Title / Role

Owner/dentist

Official Telephone

4258290627

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.

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active November 03, 2022

NPI status registered as active in NPPES database

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Updated Practice Location November 03, 2022

Registered at 18204 BOTHELL EVERETT HWY STE E, BOTHELL, WA 980126869 (Tel: 4258060077)

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Updated Business Mailing Address November 03, 2022

Registered at 18204 BOTHELL EVERETT HWY STE E, BOTHELL, WA 980126869 (Tel: 4258060077)

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Organization / Clinic Name Updated November 03, 2022

Operating as HYUN KWON DDS PLLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2022

Dentist

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Initial NPI Registration & Enumeration November 03, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1699482067
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 03, 2022
Last Update: November 03, 2022

Mailing Address

18204 Bothell Everett Hwy Ste E

Bothell, WA 980126869

Phone: 4258060077

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.