OrganizationActive
Samuel S Kwon - Athens DMD PC
NPI 1912518531 · Pediatric Dentistry · Watkinsville, GA
Samuel S Kwon - Athens DMD PC is a Pediatric Dentistry organization in Watkinsville, GA (NPI 1912518531).
Provider details
- NPI number
- 1912518531
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Deanna Maguire, Credentialing Coordinator(678) 714-7575
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1795 Resurgence Drive
Suite 101
Watkinsville, GA 30677
Phone: (678) 714-7575
Fax: (678) 804-9434
Street-level locationGet directions
Mailing address
1795 Resurgence Drive
Watkinsville, GA 30677
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2020-08-17
- Certified
- 2020-08-17
Frequently asked questions
- What is Samuel S Kwon - Athens DMD PC's NPI number?
- Samuel S Kwon - Athens DMD PC's National Provider Identifier (NPI) is 1912518531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samuel S Kwon - Athens DMD PC?
- Samuel S Kwon - Athens DMD PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Samuel S Kwon - Athens DMD PC located?
- Samuel S Kwon - Athens DMD PC's practice location on file with NPPES is 1795 Resurgence Drive, Watkinsville, GA 30677.
- What is Samuel S Kwon - Athens DMD PC's phone number?
- The practice phone number listed in the NPPES registry for Samuel S Kwon - Athens DMD PC is (678) 714-7575.
- Who is the authorized official for Samuel S Kwon - Athens DMD PC?
- The authorized official listed on Samuel S Kwon - Athens DMD PC's NPPES record is Deanna Maguire, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samuel S Kwon - Athens DMD PC's NPI active?
- Yes — Samuel S Kwon - Athens DMD PC's NPI (1912518531) is active in the NPPES registry as of the last update on 2020-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.