Provider Demographics
NPI:1144965377
Name:KYAW, PWINT THET KHIN (DMD)
Entity type:Individual
Prefix:DR
First Name:PWINT
Middle Name:THET KHIN
Last Name:KYAW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 BOSTON CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3442
Mailing Address - Country:US
Mailing Address - Phone:347-545-8312
Mailing Address - Fax:
Practice Address - Street 1:606 24TH AVE S STE 200
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1437
Practice Address - Country:US
Practice Address - Phone:612-659-8689
Practice Address - Fax:612-659-8690
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSTUDENT1223G0001X
MNR823122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice