Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jinsam Kwon

Individual provider General Practice Dentistry · NPI 1306981022

Jinsam Kwon is a General Practice Dentistry in Puyallup, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

16515 Meridian E Ste 100B
Puyallup, WA 98375-6251
Phone: (253) 770-0198
Fax: (253) 770-1166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9983 (WA)

Record details

NPI number1306981022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Puyallup