OrganizationActive
Jae Hee Kwak DMD Inc
NPI 1174212740 · Pediatric Dentistry · Tustin, CA
Jae Hee Kwak DMD Inc is a Pediatric Dentistry organization in Tustin, CA (NPI 1174212740).
Provider details
- NPI number
- 1174212740
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jae Kwak, President(469) 449-3162
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1631 Edinger Ave Ste 105
Tustin, CA 92780-6537
Phone: (714) 717-3757
Street-level locationGet directions
Mailing address
1631 Edinger Ave Ste 105
Tustin, CA 92780-6537
Registry dates
- Enumerated
- 2023-05-01
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Frequently asked questions
- What is Jae Hee Kwak DMD Inc's NPI number?
- Jae Hee Kwak DMD Inc's National Provider Identifier (NPI) is 1174212740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jae Hee Kwak DMD Inc?
- Jae Hee Kwak DMD Inc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Jae Hee Kwak DMD Inc located?
- Jae Hee Kwak DMD Inc's practice location on file with NPPES is 1631 Edinger Ave Ste 105, Tustin, CA 92780-6537.
- What is Jae Hee Kwak DMD Inc's phone number?
- The practice phone number listed in the NPPES registry for Jae Hee Kwak DMD Inc is (714) 717-3757.
- Who is the authorized official for Jae Hee Kwak DMD Inc?
- The authorized official listed on Jae Hee Kwak DMD Inc's NPPES record is Jae Kwak, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jae Hee Kwak DMD Inc's NPI active?
- Yes — Jae Hee Kwak DMD Inc's NPI (1174212740) is active in the NPPES registry as of the last update on 2023-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.