YUN SHIK CHANG (NPI# 1053897280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053897280 |
| Entity Type | Individual |
| Full Name | YUN SHIK CHANG |
| Practice Address |
2600 N Main St Roswell NM 88201-6554 |
| Mailing Address |
2050 E Algonquin Rd Ste 610 Schaumburg IL 60173-4166 |
| Practice Telephone | 8889884066 |
| Practice Fax Number | 8474964850 |
| Mailing Telephone | 8889884066 |
| Mailing Fax Number | 8474964850 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD4951 | NM | Dental Providers |
| Street Address |
2600 N MAIN ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-6554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730472184 | Familia Dental Ros LLC | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2011-05-18 |
| 1730799594 | Nestor Olague | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2020-08-06 |
| 1295357226 | Seung H Yoon | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2020-05-13 |
| 1821643198 | Rupesh Singh | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2019-08-05 |
| 1518391242 | Rakshith Arakotaram Ravikumar | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2013-08-29 |
| 1649545211 | Francis O Badejoko | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2012-03-15 |
| 1447538400 | Suman Kishore Kondragunta | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546284 | Osarobo Ehigiator | Dentist | 4511 N Main St Ste B, Roswell, NM 88201-0309 | 2018-01-25 |
| 1770012445 | Sage Dental Group of Georgia, LLC | Dentist | 10800 Alpharetta Hwy Ste 180, Roswell, GA 30076-1463 | 2017-06-07 |
| 1821543182 | Michael Sanders | Dentist | 100 Roswell Farms Ct, Roswell, GA 30075-4308 | 2016-08-16 |
| 1053761767 | Anne Koenig | Dentist | 380 Market Pl Ste 200, Roswell, GA 30075-3943 | 2016-06-14 |
| 1669834594 | Zacharia Kashlan | Dentist | 385 Saddle Creek Dr, Roswell, GA 30076-1083 | 2016-03-21 |
| 1407214752 | Georgi Zohrabyan | Dentist | 270 Spring Ridge Trce, Roswell, GA 30076-2647 | 2016-02-02 |
| 1790164911 | Good Dental Care LLC | Dentist | 910 Woodstock Rd, Ste 110, Roswell, GA 30075-8217 | 2015-05-20 |
| 1629497086 | Keon J Ahghar | Dentist | 824 N Main St, Roswell, NM 88201-4969 | 2014-04-14 |
| 1316201825 | Charles Edward Kirby | Dentist | 1875 Old Alabama Rd Ste 130, Roswell, GA 30076-2262 | 2012-06-28 |
| 1194098723 | Brian Potocki | Dentist | 3751 N Main St, Suite D, Roswell, NM 88201-0300 | 2012-02-13 |
| Find all providers in ROSWELL | ||||
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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.