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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164821781

Tae Kwon, DDS is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Registered with an NPI since 2014.

In the registry since
2014
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

625 Elmwood Ave
Rochester, NY 14620-2913
Phone: (585) 275-5087
Fax: (585) 273-1235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164821781
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 19, 2014
Last updated in NPPESAugust 19, 2014

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