MS. MI AE KWON (NPI# 1093198160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093198160 |
| Entity Type | Individual |
| Full Name | MS. MI AE KWON |
| Credential | D.M.D. |
| Practice Address |
3739 W. Neptune St. Tampa FL 33629 |
| Practice Telephone | 8138561292 |
| Mailing Telephone | 8138561292 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN21519 | FL | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3739 W. NEPTUNE ST. |
| City | TAMPA |
| State | FL |
| Zip Code | 33629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| 1750612693 | Patricia Lala Pupello | Counselor | 1056 Clearview Street, Tampa, FL 33629 | 2010-01-15 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487181541 | Alejandra Nathalie Polanco | Dentist | 10909 W Linebaugh Ave Ste 102, Tampa, FL 33626-1741 | 2017-05-18 |
| 1124497821 | Chelsea Monteleone | Dentist | 3806 W Linebaugh Ave, Tampa, FL 33618-8702 | 2015-09-23 |
| 1689084162 | Christina Makram | Dentist | 13027 W Linebaugh Ave Ste 102, Tampa, FL 33626-4477 | 2014-05-05 |
| 1902242431 | Farnaz Adibi | Dentist | 3942 Britton Plz, Tampa, FL 33611-1408 | 2013-05-10 |
| 1215146493 | Ana Marai Vales | Dentist | 1540 S Dale Mabry Hwy, Tampa, FL 33629-5842 | 2007-05-22 |
| 1407923154 | Dr Duga, Dr Feeney & Associates | Dentist | 15293 Amberly Dr, Tampa, FL 33647 | 2006-11-29 |
| 1255420642 | Erika Sue Pettinato | Dentist | 14497 N Dale Mabry Hwy, Suite 100, Tampa, FL 33618-2047 | 2006-10-12 |
| 1043310204 | Dwight E. Sanjuan | Dentist | 6532 Gunn Hwy, Tampa, FL 33625-4022 | 2006-09-25 |
| 1093816928 | Robyn Britt Lesser | Dentist | 6415 Sheldon Rd, Tampa, FL 33615-3102 | 2006-09-25 |
| 1972601920 | Marta M Rivera | Dentist | 5326 Primrose Lake Cir, Tampa, FL 33647-3589 | 2006-09-20 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.