DR. JOO-WON KIM (NPI# 1265867014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265867014 |
| Entity Type | Individual |
| Full Name | DR. JOO-WON KIM |
| Credential | DDS |
| Practice Address |
4500 Hugh Howell Rd Suite 140 Tucker GA 30084-4723 |
| Practice Telephone | 7709389090 |
| Mailing Telephone | 7709389090 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2014-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN014661 | GA | Dental Providers |
| Street Address |
4500 HUGH HOWELL RD SUITE 140 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579643 | Steven O. Stewart | Family Medicine | 4500 Hugh Howell Rd, Ste 220, Tucker, GA 30084 | 2005-06-24 |
| 1578017703 | Julia Eze | Nurse Practitioner | 4500 Hugh Howell Rd, Suite 110, Tucker, GA 30084-4723 | 2016-08-04 |
| 1518344068 | Sunrise Medical Company LLC | Clinic/Center | 4500 Hugh Howell Rd, Suite 110, Tucker, GA 30084-4723 | 2015-05-05 |
| 1316389679 | Deirdre Bonaparte | Speech-Language Pathologist | 4500 Hugh Howell Rd, Suite 780, Tucker, GA 30084-4723 | 2013-07-26 |
| 1700226750 | Hearts and Hands Therapy Services, Inc. | Physical Therapist | 4500 Hugh Howell Rd, Suite 780, Tucker, GA 30084-4723 | 2013-07-04 |
| 1184964967 | Stewart Family Practice, PC | Family Medicine | 4500 Hugh Howell Rd, Ste 220, Tucker, GA 30084-4723 | 2013-02-15 |
| 1033497409 | Ketan G Ginoya | Dentist | 4500 Hugh Howell Rd, 140, Tucker, GA 30084-4723 | 2011-08-02 |
| 1669777157 | Accuquest Hearing Center | Clinic/Center | 4500 Hugh Howell Rd, Ste 340, Tucker, GA 30084-4723 | 2011-01-14 |
| 1518297266 | Executive Medical Associates | Internal Medicine | 4500 Hugh Howell Rd, Building 270, Suite B, Tucker, GA 30084-4723 | 2009-12-31 |
| 1972756054 | Jac Nursing Registry International Inc | Day Training/Habilitation Specialist | 4500 Hugh Howell Rd, 320, Tucker, GA 30084-4723 | 2008-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811454358 | Carol Berman | Dentist | 4459 Lawrenceville Hwy, Tucker, GA 30084-3704 | 2019-02-20 |
| 1215315312 | Georgia Dental Professionals, PC | Dentist | 3983 Lavista Rd Ste 104, Tucker, GA 30084-5140 | 2015-05-11 |
| 1437327889 | James Yon Kim | Dentist | 3754 Lavista Rd, Suite 300, Tucker, GA 30084-5626 | 2008-02-19 |
| 1598945107 | Denture Place LLC | Dentist | 2258 Northlake Pkwy Ste 200, Tucker, GA 30084-4018 | 2007-11-12 |
| 1861692543 | Patricia L Delk Sr. | Dentist | 3939 Lavista Rd, Suite E #121, Tucker, GA 30084-5162 | 2007-07-20 |
| 1851446074 | Robert B Thomas Sr. | Dentist | 3939e Lavista Rd # 120, Tucker, GA 30084-5137 | 2007-01-25 |
| 1629125869 | Donald Hoyt Bohne | Dentist | 4958 Lavista Rd, Tucker, GA 30084-4403 | 2007-01-03 |
| 1235298753 | Gerald Louis Knoedler | Dentist | 4879 Lavista Rd, Suite 300, Tucker, GA 30084-8517 | 2006-12-08 |
| 1356410468 | Christopher Pollard North | Dentist | 3756 Lavista Rd, Suite 102, Tucker, GA 30084-5614 | 2006-11-06 |
| 1225110356 | Ayesha Rahman | Dentist | 2018 Montreal Rd, Tucker, GA 30084-5203 | 2006-10-19 |
| Find all providers in TUCKER | ||||
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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.