Ms Mi Ae Kwon, DMD - Dentist in Riverview, FL

Ms Mi Ae Kwon, DMD is a Dentist - Pediatric Dentistry based in Riverview, Florida. Ms Mi Ae Kwon is licensed to practice in Florida (license number DN21519) and her current practice location is 11246 Sullivan St, Riverview, Florida. She can be reached at her office (for appointments etc.) via phone at (813) 530-0111.

NPI number for Ms Mi Ae Kwon is 1093198160 and her current mailing address is 11246 Sullivan St, Riverview, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093198160.

Contact Information

Ms Mi Ae Kwon, DMD
11246 Sullivan St,
Riverview, FL 33578-2140
(813) 530-0111
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Mi Ae Kwon
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location11246 Sullivan St, Riverview, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093198160
  • Provider Enumeration Date: 07/07/2015
  • Last Update Date: 10/02/2026

Medical Identifiers

Medical identifiers for Ms Mi Ae Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093198160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry DN21519 (Florida)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Ms Mi Ae 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
Ms Mi Ae Kwon, DMD
11246 Sullivan St,
Riverview, FL 33578-2140

Ph: (813) 530-0111
Ms Mi Ae Kwon, DMD
11246 Sullivan St,
Riverview, FL 33578-2140

Ph: (813) 530-0111

Reviews and Comments


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