Peter Tae-Jin Kwon, DMD

Periodontics · Malden, MA

Individual Active NPI

NPI number 1326121492

Practice location

225 Centre St
Malden, MA 02148-5524
Phone
(781) 324-3200

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NPI record

NPI
1326121492
Entity type
Individual (Type 1)
Enumeration date
October 23, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 19754 MA

Mailing address

170 Tremont St
Unit 404
Boston, MA 02111-1131

About Dr. Kwon

Peter Tae-Jin Kwon, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 225 Centre St, Malden, MA 02148-5524. The NPI number 1326121492 was assigned on October 23, 2006 and the record was last updated on July 8, 2007.

Dr. Kwon lists a license in the registry: #19754 (MA) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Tae-Jin Kwon, DMD?

The NPI number is 1326121492.

What is the phone number of Dr. Kwon?

The phone number listed for the practice location is (781) 324-3200.

Where is Dr. Kwon located?

225 Centre St, Malden, MA 02148-5524.

What is the taxonomy code for Dr. Kwon?

The primary taxonomy code is 1223P0300X – Periodontics.

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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