IndividualActive
Tae Hyun Kwon, DDS
NPI 1760761563 · Periodontics · Keene, NH
Provider details
- NPI number
- 1760761563
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 04034 (NH)
Specialties & taxonomies
Dental Providers
Practice location
819 Court St Unit a
Keene, NH 03431-1773
Phone: (603) 215-5800
Approximate (ZIP-level) locationGet directions
Mailing address
819 Court St Unit a
Keene, NH 03431-1773
Registry dates
- Enumerated
- 2011-08-10
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.