Euiyoung Kwak, DMD

General Practice Dentistry · Hiram, GA

Individual Active NPI

NPI number 1003461559

Practice location

4373 Jimmy Lee Smith Pkwy Ste 105
Hiram, GA 30141-2642
Phone
(678) 224-9244

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NPI record

NPI
1003461559
Entity type
Individual (Type 1)
Enumeration date
August 1, 2019
Last updated
August 1, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN015936 GA

Mailing address

2217 Lake Park Dr SE Apt M
Smyrna, GA 30080-8975
Phone
(954) 604-7343

About Dr. Kwak

Euiyoung Kwak, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, GA 30141-2642. The NPI number 1003461559 was assigned on August 1, 2019 and the record was last updated on August 1, 2019.

Dr. Kwak lists a license in the registry: #DN015936 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Euiyoung Kwak, DMD?

The NPI number is 1003461559.

What is the phone number of Dr. Kwak?

The phone number listed for the practice location is (678) 224-9244.

Where is Dr. Kwak located?

4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, GA 30141-2642.

What is the taxonomy code for Dr. Kwak?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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