Jonathan J Hwang, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012668 Issued in GA

Practice address

3230 Steve Reynolds Blvd Ste 212
Duluth, GA 30096-8833

Phone

(770) 813-0777

Fax

(770) 813-1023

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1134342249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 STEVE REYNOLDS BLVD STE 212",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968833",
            "telephone_number": "770-813-0777",
            "fax_number": "770-813-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 STEVE REYNOLDS BLVD STE 212",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968833",
            "telephone_number": "770-813-0777",
            "fax_number": "770-813-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JONATHAN",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jemila Abdie Hussien, MD
• Chau G Huynh
• Khanh Vinh Huynh, RBT
• Nancy Huynh, MD
• Debra Hwang, MD
• Pearl Gem Hwang, D.O.
• Yosun Hwang, L.AC.
• Samantha Marie Hydes, APRN, FNP-BC
• Anne Elizabeth Hysong, APRN, CCNS, ACNS-BC
• Hyungwon Kang

• General Practice Dentistry in Duluth, GA
• Providers in Duluth, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.