| Samuel S Kwon - Athens Dmd Pc | |
|
1795 Resurgence Drive Suite 101 Watkinsville GA 30677 | |
| (678) 714-7575 | |
| (678) 804-9434 |
| Full Name | Samuel S Kwon - Athens Dmd Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1795 Resurgence Drive, Watkinsville, Georgia |
| Authorized Official Name and Position | Deanna Maguire (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6787147575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel S Kwon - Athens Dmd Pc 1795 Resurgence Drive Suite 101 Watkinsville GA 30677 Ph: (678) 714-7575 | Samuel S Kwon - Athens Dmd Pc 1795 Resurgence Drive Suite 101 Watkinsville GA 30677 Ph: (678) 714-7575 |
| NPI Number | 1912518531 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912518531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Docaligners, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2061 Experiment Station Rd Ste 101, Watkinsville, GA 30677 Phone: 706-549-0110 Fax: 770-804-2042 | |
Edelweiss Pd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way Ste 103, Watkinsville, GA 30677 Phone: 706-548-7373 | |
Classic City Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Jamestown Blvd Bldg 100, Watkinsville, GA 30677 Phone: 706-549-4748 Fax: 706-549-9822 | |
Brant Sandifer Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Jennings Mill Rd Ste A, Watkinsville, GA 30677 Phone: 706-353-1958 | |
Adfc-watkinsville Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Resurgence Dr, Watkinsville, GA 30677 Phone: 706-355-3109 | |
Athens Gpr Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way Ste 101, Watkinsville, GA 30677 Phone: 706-543-3629 Fax: 706-543-5107 | |
Mobley Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2281 Hog Mountain Rd, Watkinsville, GA 30677 Phone: 706-769-6671 Fax: 706-769-2103 |