Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jin Sang Kwon, DDS

Individual provider General Practice Dentistry · NPI 1053473736

Jin Sang Kwon, DDS practises General Practice Dentistry in Modesto, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2045 W Briggsmore Ave Ste E
Modesto, CA 95350-3767 Not confirmed with CMS for 19 years — call before visiting
Phone: (209) 527-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 53616 (CA)

Record details

NPI number1053473736
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 8, 2007

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