OrganizationActiveAccepts Medicare
O.j Kwon Dental Corporation
NPI 1972044337 · Dentist · Montclair, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1972044337
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Oh Jae Kwon, President(909) 576-7175
- License
- 46484 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
9675 Monte Vista Ave
Suite G
Montclair, CA 91763-2233
Phone: (909) 576-7175
Street-level locationGet directions
Mailing address
9675 Monte Vista Ave
Montclair, CA 91763-2233
Registry dates
- Enumerated
- 2017-03-17
- Last updated
- 2017-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.