Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568832434 Individual Practitioner Female Practitioner

Dr. Jiae Kwon , DDS

Dentist - General Practice • Sequim, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jiae Kwon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Sequim, WA. Practice services are available at 1033 OLD BLYN HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1033 Old Blyn Hwy

Sequim, WA 983827670

Telephone 3606813400
Associated Practice Facility / Clinic
🏢 Jamestown S'klallam Tribe Facility NPI 1477630507

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sequim, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
16 Specialists

Practicing in Sequim, WA (3345 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: 2024-10-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60592613

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

1 Associated Practitioners
Dr. David Woodcock , DDS PS

Dentist - General Practice

NPI 1922183474

DDSPS

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location November 05, 2024

Registered at 1033 OLD BLYN HWY, SEQUIM, WA 983827670 (Tel: 3606813400)

📍
Updated Business Mailing Address September 09, 2021

Registered at 1033 OLD BLYN HWY, SEQUIM, WA 983827670

👤
Provider Name / Credentials Updated September 09, 2021

Recorded as JIAE KWON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2021

Dentist (License #DE60592613 in WA)

NPI Profile Active October 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2015

Registered at 1258 W WASHINGTON ST, SEQUIM, WA 983823227 (Tel: 3607971100)

📍
Updated Business Mailing Address October 04, 2015

Registered at 1258 W WASHINGTON ST, SEQUIM, WA 983823227

👤
Provider Name / Credentials Updated October 04, 2015

Recorded as JI KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2015

Dentist (License #DE60592613 in WA)

🟢
Initial NPI Registration & Enumeration October 04, 2015

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: 1568832434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2015
Last Update: November 05, 2024
Sole Proprietor: Yes

Mailing Address

1033 Old Blyn Hwy

Sequim, WA 983827670

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.