Provider Demographics
NPI:1124814579
Name:ANN KWOK, DMD, PLLC
Entity type:Organization
Organization Name:ANN KWOK, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:KWOK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:727-560-5502
Mailing Address - Street 1:1625 BAY HILL CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-5902
Mailing Address - Country:US
Mailing Address - Phone:727-560-5502
Mailing Address - Fax:
Practice Address - Street 1:12450 TAMIAMI TRL S UNIT A
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-1473
Practice Address - Country:US
Practice Address - Phone:941-423-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental