KWON DENTISTRY, LLC


Address: 1201 Se 223rd Ave, Suite 120, Gresham, OR 97030-2574
Phone: 5036612828

KWON DENTISTRY, LLC (NPI# 1851666903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851666903
Entity Type Organization
Organization Name KWON DENTISTRY, LLC
Other Organization Name AESTHETIC FAMILY DENTISTRY
Practice Address 1201 Se 223rd Ave
Suite 120
Gresham
OR 97030-2574
Practice Telephone 5036612828
Practice Fax Number 5036189874
Mailing Telephone 5036612828
Mailing Fax Number 5036189874
Enumeration Date 2012-03-21
Last Update Date 2012-03-21
Authorized Official Name DR. ROBIN KWON (DENTIST / OWNER)
Authorized Official Telephone 5036612828
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
OR Dental Providers

Other Provider/Organization Names

Other Name Type Code
Aesthetic Family Dentistry Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names KWON DENTISTRY, LLC 1201 Se 223rd Ave Ste 260, Gresham, OR 97030

Office Location

Street Address 1201 SE 223RD AVE
SUITE 120
City GRESHAM
State OR
Zip Code 97030-2574

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740384460 Perry A. Stevenson Dentist 1201 Se 223rd Ave, Suite 220, Gresham, OR 97030-2574 2006-09-12
1518302918 Cascade Vision Center Inc. Optometrist 1201 Se 223rd Ave, Suite 160, Gresham, OR 97030-2574 2013-04-30
1902100316 Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC Dentist 1201 Se 223rd Ave, Suite 180, Gresham, OR 97030-2574 2010-12-28
1871768853 Daniel J Ries, Dmd, PC Clinic/Center 1201 Se 223rd Ave, Suite 140, Gresham, OR 97030-2574 2008-04-29
1386784437 Kevin K Shim Dentist 1201 Se 223rd Ave, Suite 260, Gresham, OR 97030-2574 2007-02-07
1386715910 Daniel J Ries Dentist 1201 Se 223rd Ave, Suite 140, Gresham, OR 97030-2574 2006-11-13
1366521122 Douglas Lee Park Dentist 1201 Se 223rd Ave, Suite 240, Gresham, OR 97030 2006-11-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
Find all providers in zip 97030

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083062020 Nhu Nguyen Dentist 315 Nw Burnside Rd, Gresham, OR 97030-3851 2016-06-01
1013321587 Matthew Vogel Dentist 1201 Se 223rd Ave Ste 140, Gresham, OR 97030 2014-06-12
1164680047 Kurt David Fuerstenau Dentist 1605 Sw Walters Dr, Gresham, OR 97080-9355 2008-05-28
1750587085 Gary Stewart Cooke Dentist 490 E Powell Blvd, Gresham, OR 97030-7610 2007-06-24
1073730784 Bradley Fuller Dentist 2458 Se Burnside Rd, Gresham, OR 97080-1247 2007-04-20
1578689659 Paynter Family Dentistry, PC Dentist 445 W Powell Blvd, Gresham, OR 97030-7048 2007-03-21
1285795690 Vicki J Reichlein Dentist 2039 Ne Burnside Rd, Gresham, OR 97030-7998 2006-12-12
1982772026 Cristina Pellicano Kennedy Dentist 501 Ne Hood Ave Ste 235, Gresham, OR 97030-7346 2006-11-30
1720159221 Raymond Shigeuki Onchi Dentist 35 Ne Kelly Ave, Gresham, OR 97030-7539 2006-11-13
1598854929 Dmitri Vladislavovich Aleksandrov Dentist 600 Ne 8th St Ste 210, Gresham, OR 97030-7341 2006-10-12
Find all providers in GRESHAM

Competitor

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City GRESHAM
Zip Code 97030

Improve Information

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Dataset Information

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.

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