STELLA KIM DDS PLLC (NPI# 1033631619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033631619 |
| Entity Type | Organization |
| Organization Name | STELLA KIM DDS PLLC |
| Other Organization Name | ORONOCO DENTAL |
| Practice Address |
516 Oronoco St Alexandria VA 22314-2306 |
| Practice Telephone | (703) 549-1960 |
| Mailing Telephone | 7035491960 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | STELLA JIWON KIM (GENERAL DENTIST) |
| Authorized Official Telephone | 7035491960 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0401414335 | VA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oronoco Dental | Doing Business As Name - Organization |
| Street Address |
516 ORONOCO ST |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487725438 | Peter John Hanna Jr. | Dentist | 516 Oronoco St, Alexandria, VA 22314 | 2006-11-13 |
| 1467892943 | Stella Kim Kim | Dentist | 516 Oronoco St, Alexandria, VA 22314-2306 | 2013-06-28 |
| 1427222991 | Diane Huy Pham | Dentist | 516 Oronoco St, Alexandria, VA 22314-2306 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284679 | Dr Gina Askander PC | Clinic/Center | 4660 Kenmore Ave Ste 318, Alexandria, VA 22304-1306 | 2020-10-29 |
| 1912525908 | Carabella Dental | Clinic/Center | 420 South Pickett Street, Alexandria, VA 22304-2230 | 2020-07-07 |
| 1376182196 | Alexandria Dentistry Pllc | Clinic/Center | 6000 Stevenson Ave Ste 103, Alexandria, VA 22304-3526 | 2019-12-26 |
| 1306493838 | Lawrence D. Singer | Clinic/Center | 809 Cameron St, Alexandria, VA 22314-2409 | 2019-08-20 |
| 1639734627 | Jung H Park Dds LLC | Clinic/Center | 7900 Andrus Rd Ste 1, Alexandria, VA 22306-3167 | 2019-05-05 |
| 1912404559 | Smile Experts | Clinic/Center | 4810 Beauregard St Ste 200, Alexandria, VA 22312-1709 | 2018-04-10 |
| 1194227090 | Alexandra Dental LLC | Clinic/Center | 654 Valley Cub Dr, Alexandria, AL 36250-4200 | 2018-03-06 |
| 1871023507 | Brightwhites, P.C. | Clinic/Center | 6214 Old Franconia Rd Ste A, Alexandria, VA 22310-3400 | 2017-06-15 |
| 1669843082 | Alexandria Kids Dentistry, PC | Clinic/Center | 625 E Monroe Ave, Alexandria, VA 22301-3019 | 2015-10-12 |
| 1104205905 | Jonathan Ryan Rogenmoser Dds LLC | Clinic/Center | 160 Windermere Boulevard, Alexandria, LA 71303 | 2015-05-26 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
Please comment or provide details below to improve the information on STELLA KIM DDS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.