IndividualActive
Sam Kwon, DMD
NPI 1013054402 · Pediatric Dentistry · Dacula, GA
Sam Kwon, DMD is a Pediatric Dentistry provider in Dacula, GA (NPI 1013054402).
Provider details
- NPI number
- 1013054402
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN012637 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3635 Braselton Hwy
Suite C
Dacula, GA 30019-1068
Phone: (678) 714-7575
Fax: (678) 714-7525
Street-level locationGet directions
Mailing address
4731 Cambridge Trce
Atlanta, GA 30338-5252
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Sam Kwon's NPI number?
- Sam Kwon's National Provider Identifier (NPI) is 1013054402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sam Kwon's specialty?
- Sam Kwon is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Sam Kwon located?
- Sam Kwon's practice location on file with NPPES is 3635 Braselton Hwy, Dacula, GA 30019-1068.
- What is Sam Kwon's phone number?
- The practice phone number listed in the NPPES registry for Sam Kwon is (678) 714-7575.
- Is Sam Kwon's NPI active?
- Yes — Sam Kwon's NPI (1013054402) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.