Paul Yoo Kwon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60023538 Issued in WA

Practice address

746 F St SW
Quincy, WA 98848-1370

Phone

(509) 787-1507

Fax

(509) 787-2100

NPI assigned

Oct 28, 2008

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul Y Kwon, DDS, PLLC

  dba Heritage Dentistry

  • Dental Clinic/Center
  • Wenatchee, WA
  • NPI 1306733654
  NPD Authorized official
• Paul Y Kwon, DDS, PLLC

  dba Kwon Family Dentistry

  • General Practice Dentistry
  • Quincy, WA
  • NPI 1013553478
  NPD

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1295988707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 F ST SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481370",
            "telephone_number": "509-787-1507",
            "fax_number": "509-787-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 F ST SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481370",
            "telephone_number": "509-787-1507",
            "fax_number": "509-787-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "PAUL",
        "middle_name": "YOO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60023538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DENTAL LICENSE",
            "identifier": "DE60023538",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broc Gundersen, DMD
• Lisa Hamilton
• Cherie Hanning, RN
• Cheryl M Hein, MSW
• Gregory C Klingel, D.D.S
• Kyle M Gillespie O D LTD (Gillespie Eye Care)
• Linda Nancy Landin
• Erika Leavitt, SLPA
• Marco Leon
• Lourdes Y Lopez

• General Practice Dentistry in Quincy, WA
• Providers in Quincy, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.