Samuel S Kwon Dmd PC

Samuel S Kwon Dmd PC is a healthcare organization registered as Pediatric Dentistry in Dacula, GA, holding Type 2 (organization) NPI 1457476608 since 2007. The authorized official on file is Samuel Kwon, Dentist.

✓ Active NPI ✓ Valid NPI checksum

NPI	1457476608
Entity type	Organization (Type 2)
Legal business name	Samuel S Kwon Dmd PC
Practice address	3590 BRASELTON HWY, SUITE 201, Dacula, GA, 30019
Phone	6787147575
Fax	6787147525
Enumeration date	2007-03-20
Last updated in NPPES	2015-12-08

Authorized official

Name	Samuel Kwon
Title	Dentist
Phone	6787147575

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223P0221X	Pediatric Dentistry	Primary	DN012637	GA

Copy-ready billing details

Provider: Samuel S Kwon Dmd PC
NPI: 1457476608
Taxonomy: 1223P0221X (Pediatric Dentistry)
Address: 3590 BRASELTON HWY, SUITE 201, Dacula, GA, 30019

Providers at this address

NPI	Name	Type	Specialty	Location
1710281795	Van Derhei Implant and Prosthetics	Organization	Dental Clinic/Center	Dacula, GA

Verify this record

Cross-check NPI 1457476608 against the authoritative CMS record: view Samuel S Kwon Dmd PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Samuel S Kwon Dmd PC located?

The practice location on file with NPPES is in Dacula, GA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-12-08. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-12-08.