Individual
DR. MIN GYU KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
1895 BRENTWOOD RD, BRENTWOOD, NY 11717
(631) 388-7717
(631) 388-7797
Mailing address
21 BARSTOW RD APT 5A, GREAT NECK, NY 11021-2202
(631) 388-7717
(631) 388-7797
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
062915
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062915
NEW YORK STATE DENTAL LICENSE
NY
Enumeration date
11/28/2022
Last updated
02/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us