Jiae Kwon DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JIAE KWON DDS PLLC

Doing business as

Rolling Bay Family Dental

Practice address

730 Ericksen Ave NE Ste 200
Bainbridge Island, WA 98110-2819

Phone

(206) 842-8686

NPI assigned

Sep 9, 2026

Last updated

Sep 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jiae Kwon, DDS

Title

Member

Phone

(206) 369-7331

Specialties & licenses 1

Addresses

Other names 1

• Rolling Bay Family Dental Doing business as

Locations

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1770493082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 ERICKSEN AVE NE STE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102819",
            "telephone_number": "206-842-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 ERICKSEN AVE NE STE 200",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102819",
            "telephone_number": "206-842-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIAE KWON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "JIAE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-369-7331",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolling Bay Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dianah Leigh Jackson, LMFT
• Susan M James
• Jeanene M Nover MPT PLLC
• Jenny Wilson Counseling
• Mary Phyllis Jensen, CCC-SLP, MS
• John D Estes MPT PLLC
• Kurt David Johns, PH.D.
• Ellen Maxine Johnson, M.S.
• Stacy Elizabeth Johnson, PHARMD
• Dennis O Johnston, C.R.N.A.

• General Practice Dentistry in Bainbridge Island, WA
• Providers in Bainbridge Island, 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 Sep 9, 2026; 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.