Individual provider · Type 1 NPI

William Kwak

Pediatric Dentistry · Endicott, NY

NPI number 1316636087 Active

Practice location

1700 Monroe St
Endicott, NY 13760-5512

Mailing address

119 Briarcliff Dr
Morganville, NJ 07751-2049

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X065344-01 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1316636087

William Kwak's National Provider Identifier is 1316636087, issued on May 8, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Endicott, NY. The record was last updated on Aug 13, 2026.