O. Kwon Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

O. KWON DENTAL CORPORATION

Doing business as

Sun Dental

Practice address

82935 Avenue 48 Ste 103
Indio, CA 92201-6757

Phone

(909) 576-7175

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Oh Jae Kwon, DDS

Title

President

Phone

(909) 576-7175

Specialties & licenses 1

Addresses

Other names 1

• Sun Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oh Jae Kwon, DDS

  • Dentist
  • Riverside, CA
  • NPI 1972576866
  NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1356029433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 MONTE VISTA AVE STE G",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632213",
            "telephone_number": "909-576-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82935 AVENUE 48 STE 103",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016757",
            "telephone_number": "909-576-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O. KWON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "OH JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-576-7175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Indio, CA
• Providers in Indio, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.