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

Jae H. Kwak, DMD

Individual provider Dentist · NPI 1033668355

Jae H. Kwak, DMD is a Dentist in Tustin, California. Licensed in California and Texas. Registered with an NPI since 2016.

Licensed in
CA, TX
In the registry since
2016
Specialties on file
2
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

1631 Edinger Ave Ste 105
Tustin, CA 92780-6537
Phone: (714) 717-3757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 102524 (CA)
Dentist Taxonomy 122300000X · Licence 32379 (TX)

Record details

NPI number1033668355
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address24635 Madison Ave, Murrieta, CA 92562-9751

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