DR. SANG CHOL KWAK (NPI# 1730285750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730285750 |
| Entity Type | Individual |
| Full Name | DR. SANG CHOL KWAK |
| Credential | D.D.S. |
| Practice Address |
2700 N Berkeley Lake Rd Nw Ste 110 Duluth GA 30096-1744 |
| Practice Telephone | 7702200088 |
| Practice Fax Number | 7702200299 |
| Mailing Telephone | 7702200088 |
| Mailing Fax Number | 7702200299 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN011990 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194964247 | Sang Kwak | Dentist | 2105 Barrett Park Dr Nw, 106, Kennesaw, GA 30144-7080 | 2009-02-12 |
| Street Address |
2700 N BERKELEY LAKE RD NW STE 110 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982046314 | Christine Colton Hammer | Dentist | 1901 South St Ste 2, Duluth, MN 55812-2117 | 2013-07-26 |
| 1629031273 | Brian R Landrigan | Dentist | 3617 W Arrowhead Rd, Suite 200, Duluth, MN 55811-4046 | 2006-04-06 |
| 1679121511 | Zenith City Orthodontics Pllc | Dentist | 1901 South St Ste 2, Duluth, MN 55812-2117 | 2019-09-03 |
| 1518321710 | Nathan G Halstead Dds Ms PC | Dentist | 324 W Superior St, Suite 100, Duluth, MN 55802-1701 | 2016-04-13 |
| 1245691369 | James Nathaniel Raley | Dentist | 3415 Duluth Highway 120, Duluth, GA 30096-3354 | 2016-03-16 |
| 1306185160 | Arrowhead Orthodontics PC | Dentist | 3617 W Arrowhead Rd, Suite 200, Duluth, MN 55811-4046 | 2013-02-13 |
| 1740514751 | Luke D Carlson | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2009-09-23 |
| 1760716773 | Kirstin M Carlson | Dentist | 3617 W Arrowhead Rd, Duluth, MN 55811-4046 | 2009-09-23 |
| 1003047499 | Smiles Forever Services, LLC | Dentist | 2148 Duluth Hwy, St 101, Duluth, GA 30097 | 2009-08-03 |
| 1508986779 | Christopher Paul Carlson | Dentist | 1901 South St, Duluth, MN 55812-2116 | 2007-03-30 |
| Find all providers in DULUTH | ||||
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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.