DR. JUNG HYUN KIM (NPI# 1235445354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235445354 |
| Entity Type | Individual |
| Full Name | DR. JUNG HYUN KIM |
| Credential | DDS |
| Practice Address |
598 W Main St Norwich CT 06360-5342 |
| Mailing Address |
598 W Main St Unit 3 Norwich CT 06360-5342 |
| Practice Telephone | 9173343544 |
| Mailing Telephone | 9173343544 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 010809 | CT | Dental Providers |
| N | 122300000X | Dentist | 010808 | CT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
14670 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1629384987 | 05 | |
| CT | 14375326357 | 05 | |
| CT | 1235445354 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427564418 | Jung Hyun Kim | Social Worker | 23801 Sapphire Canyon Rd, Diamond Bar, CA 91765-1139 | 2017-12-28 |
| Street Address |
598 W MAIN ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-5342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063599777 | James Alan Eckert | Chiropractor | 598 W Main St, Suite One, Norwich, CT 06360-5342 | 2006-11-01 |
| 1437526357 | Hi Dental Care LLC | Clinic/Center | 598 W Main St, Unit 3, Norwich, CT 06360-5342 | 2015-08-26 |
| 1871784108 | Eckert Chiropractic, P.C. | Chiropractor | 598 W Main St, Suite One, Norwich, CT 06360-5342 | 2007-08-01 |
| 1992824411 | .chrissy Lee Davis-allen | Naturopath | 598 W Main St, Norwich, CT 06360-5342 | 2007-03-28 |
| 1619001880 | Michael William Allard | Chiropractor | 598 W Main St, Norwich, CT 06360-5342 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| 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 |
|---|---|---|---|---|
| 1316306236 | Jason Wesley Kwok | Dentist | 130 New London Tpke Ste 4, Norwich, CT 06360-2624 | 2016-02-19 |
| 1194980706 | Peter Michael Ward | Dentist | 3 Pleasant St, Norwich, NY 13815 | 2008-07-23 |
| 1881753432 | Steven F Trojan | Dentist | 6362 County Road 32, Norwich, NY 13815-3551 | 2006-12-08 |
| 1598848376 | Kevin B Decker | Dentist | 32 Conkey Ave, Norwich, NY 13815-1762 | 2006-10-23 |
| 1194735563 | Jonathan Edward Greene | Dentist | 65 Sachem St, Norwich, CT 06360-4201 | 2006-08-09 |
| 1790703940 | Steven K Rayes | Dentist | 54 Palmer Court, Norwich, VT 05055 | 2006-07-17 |
| 1922302165 | Amanda M Daley | Dentist | 47 Town St, Norwich, CT 06360-2315 | 2011-01-03 |
| 1780868133 | Edward Charles Yates | Dentist | 164 Otrobando Ave, Norwich, CT 06360-2116 | 2007-12-20 |
| 1891845467 | Jane A Ogembo | Dentist | 32 Conkey Ave, Norwich, NY 13815-1762 | 2007-01-12 |
| 1730248287 | Family Dentistry of Norwich, PC | Dentist | 6362 County Road 32, Norwich, NY 13815-3551 | 2006-12-08 |
| Find all providers in NORWICH | ||||
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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.