MIN CHUL JUNG DDS INC (NPI# 1316583321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316583321 |
| Entity Type | Organization |
| Organization Name | MIN CHUL JUNG DDS INC |
| Practice Address |
1535 E Highland Ave Ste F San Bernardino CA 92404-4682 |
| Practice Telephone | 9093566852 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | MIN CHUL JUNG (OWNER) |
| Authorized Official Telephone | 7147242893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Children Dental World | Doing Business As Name - Organization |
| Street Address |
1535 E HIGHLAND AVE STE F |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730704495 | Jung and 3kims Dental Group | Dentist | 1535 E Highland Ave Ste F, San Bernardino, CA 92404-4682 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| 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 |
|---|---|---|---|---|
| 1598239170 | James Myung Ju Kim Dds Inc | Dentist | 1136 N Mount Vernon Ave Ste 202-203, San Bernardino, CA 92411-2279 | 2019-01-16 |
| 1891210001 | Jordan Koji Higa | Dentist | 1047 Harriman Pl Ste B, San Bernardino, CA 92408-4203 | 2017-08-08 |
| 1669833810 | Azadeh Afzali D.d.s, Inc. | Dentist | 1918 Business Center Dr Ste 210, San Bernardino, CA 92408-3441 | 2016-03-16 |
| 1326408261 | Allure Dental | Dentist | 1353 W Mill St, San Bernardino, CA 92410-2244 | 2016-03-04 |
| 1154796043 | Hyung-ju John Kim Dds Inc | Dentist | 1136 N Mount Vernon Ave Spc 202-203, San Bernardino, CA 92411-2279 | 2015-12-03 |
| 1205227386 | Julia Jungin Park | Dentist | 2526 S Young Ct, San Bernardino, CA 92408-4197 | 2015-02-11 |
| 1265834105 | Louis J. Amendola Dds, Inc. | Dentist | 2094 E Highland Ave, San Bernardino, CA 92404-4626 | 2014-09-23 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1174943476 | Brenda E Miller, Dds Apc | Dentist | 570 S Mount Vernon Ave Ste E, San Bernardino, CA 92410-2737 | 2014-04-25 |
| 1003235631 | Nick L. Le | Dentist | 1848 Commercenter E # 3406, San Bernardino, CA 92408-3406 | 2014-04-10 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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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.