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

Dr. Jenise Kwak, DMD

Individual provider General Practice Dentistry · NPI 1417478223

Dr. Jenise Kwak, DMD is a General Practice Dentistry in Austin, Texas. Practices as a sole proprietor and works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2800 S Interstate 35 Ste 500
Austin, TX 78681-8098
Phone: (512) 726-0440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3043 Main St # A, Glastonbury, CT 06033-1029 — (860) 430-4106
  • 434 N Main St, East Longmeadow, MA 01028-1850 — (413) 273-8179

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 35014 (TX)

Record details

NPI number1417478223
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 30, 2017
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

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