Gae Won Kwon, DDS - Dentist in Las Cruces, NM

Gae Won Kwon, DDS is a Dentist - Pediatric Dentistry based in Las Cruces, New Mexico. Gae Won Kwon is licensed to practice in Washington (license number DE.61294850) and her current practice location is 1901 Calle De Ninos, Las Cruces, New Mexico. She can be reached at her office (for appointments etc.) via phone at (575) 526-5522.

NPI number for Gae Won Kwon is 1649689704 and her current mailing address is 13403 Newcastle Commons Dr Apt 301, Newcastle, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649689704.

Contact Information

Gae Won Kwon, DDS
1901 Calle De Ninos,
Las Cruces, NM 88005-3293
(575) 526-5522
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGae Won Kwon
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location1901 Calle De Ninos, Las Cruces, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649689704
  • Provider Enumeration Date: 08/03/2014
  • Last Update Date: 11/10/2022

Medical Identifiers

Medical identifiers for Gae Won Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649689704NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DS040063 (Pennsylvania)Secondary
1223P0221XDentist - Pediatric Dentistry DD5471 (New Mexico)Secondary
1223P0221XDentist - Pediatric Dentistry DE.61294850 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gae Won Kwon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gae Won Kwon, DDS
13403 Newcastle Commons Dr Apt 301,
Newcastle, WA 98059-3220

Ph: (949) 355-3676
Gae Won Kwon, DDS
1901 Calle De Ninos,
Las Cruces, NM 88005-3293

Ph: (575) 526-5522

Reviews and Comments


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Practice Location: 1600 Thorpe Rd, Las Cruces, NM 88012
Phone: 505-382-9292    Fax: 505-382-2061

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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