SCOTT SEUNG YOUNG KIM (NPI# 1043656655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043656655 |
| Entity Type | Individual |
| Full Name | SCOTT SEUNG YOUNG KIM |
| Credential | DMD, MD |
| Practice Address |
6201 Greenbelt Rd Ste M1 College Park MD 20740-2358 |
| Practice Telephone | 3013457007 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 16712 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 263 Farmington Ave, Farmington, CT 060321956 | 8606792839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194283614 | Scott Kim | Student in an Organized Health Care Education/Training Program | 8 Locksley Ave Apt 8m, San Francisco, CA 94122-3850 | 2019-03-04 |
| 1588290738 | Scott H Kim | Pharmacist | 8887 Garden Grove Blvd, Garden Grove, CA 92844-1249 | 2020-03-19 |
| 1659864056 | Scott Hyuk Kim | Student in an Organized Health Care Education/Training Program | William Beaumont Army Medical Center, 5005 North Piedras Street Attn: Gme Office, El Paso, TX 79920 | 2018-06-11 |
| 1770850877 | Scott Kim | Pharmacist | 5802 W Broad St, Richmond, VA 23230-2659 | 2011-11-18 |
| 1164650461 | Scott Sang Won Kim | Anesthesiology | 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 | 2009-06-24 |
| 1518008804 | Scott Yung Kim | Internal Medicine | 5427 Whittier Blvd, Los Angeles, CA 90022-4101 | 2007-02-09 |
| 1487701447 | Scott Kim | Dentist | 1430 E Main St, Suite 103, Santa Maria, CA 93454-4809 | 2007-01-04 |
| 1477625895 | Scott Yung Ho Kim | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2006-11-14 |
| 1548356108 | Scott Yong Jin Kim | Dentist | 4220 W 3rd St, Suite #101, Los Angeles, CA 90020-3450 | 2006-10-04 |
| Street Address |
6201 GREENBELT RD STE M1 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679902407 | Antoine G Johnson Dds LLC | Oral & Maxillofacial Surgery | 3450 Ellicott Center Dr, 104, Ellicott City, MD 21043-4172 | 2013-11-02 |
| 1366889479 | Eric J Wu | Oral & Maxillofacial Surgery | 5900 Waterloo Rd Ste 220, Columbia, MD 21045-2638 | 2013-05-30 |
| 1760558787 | Michael E Suden | Oral & Maxillofacial Surgery | 12166 Old Big Bend, Ste 101, Kirkwood, MD 63122 | 2006-11-28 |
| 1811060734 | Behrens & Kishter PC | Oral & Maxillofacial Surgery | 11404 Old Georgetown Road, Suite 104, Rockville, MD 20852 | 2006-11-16 |
| 1639141609 | Peter M Tan | Oral & Maxillofacial Surgery | 68 Thomas Johnson Dr, Suite A, Frederick, MD 21702 | 2006-02-03 |
| 1467446344 | John F Caccamese Jr. | Oral & Maxillofacial Surgery | 650 W. Baltimore St., Suite 1401, Baltimore, MD 21201 | 2005-09-07 |
| 1992798524 | Leonard Spector | Oral & Maxillofacial Surgery | 10 Warren Rd, Ste 330, Cockeysville, MD 21030-2506 | 2005-08-30 |
| 1023001641 | Spector & Krupps Dds | Oral & Maxillofacial Surgery | 1220b E Joppa Rd, Ste 314, Towson, MD 21286-5813 | 2005-08-30 |
| 1811998966 | Barry Ronald Berman | Oral & Maxillofacial Surgery | 110 Painters Mill Rd, Suite 8, Owings Mills, MD 21117-4920 | 2005-08-10 |
| 1982016812 | Leah Irene Leinbach | Oral & Maxillofacial Surgery | The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD 21287-0001 | 2014-05-27 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
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| 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.