KIJIN WOO (NPI# 1396901005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396901005 |
| Entity Type | Individual |
| Full Name | KIJIN WOO |
| Credential | DMD |
| Practice Address |
330 N Jacob Drive Bloomington IN 47404 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220 |
| Practice Telephone | 8123237400 |
| Practice Fax Number | 8123237595 |
| Mailing Telephone | 8662738204 |
| Mailing Fax Number | 8665712509 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12011208A | IN | Dental Providers |
| Street Address |
330 N JACOB DRIVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1982870234 | Corrine Carpenter | Acupuncturist | 2401 N Walnut, Bloomington, IN 47404 | 2008-05-07 |
| Find all providers in zip 47404 | ||||
| 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 |
|---|---|---|---|---|
| 1962026948 | Maria Contreras Mantilla | Dentist | 1320 W Bloomfield Rd, Bloomington, IN 47403-2001 | 2020-06-04 |
| 1144703026 | Aneetam Bassi | Dentist | 3609 General Electric Rd Ste A, Bloomington, IL 61704-8766 | 2018-09-07 |
| 1467934505 | Mary Therese Block | Dentist | 2507 E Poplar Dr, Bloomington, IN 47401-4327 | 2018-09-05 |
| 1619456373 | Applewhite Dental Illinois, P.C. | Dentist | 2103 E Washington St Ste 1c, Bloomington, IL 61701-4365 | 2018-08-13 |
| 1154842581 | Anna Noel Nord | Dentist | 1404 Eastland Dr Ste 102, Bloomington, IL 61701-7904 | 2017-07-06 |
| 1528416302 | Nathaniel Gonzales | Dentist | 10700 France Ave S Ste 102, Bloomington, MN 55431-3693 | 2016-06-02 |
| 1902251911 | Optim Dental Bloomington LLC | Dentist | 401 N Veterans Pkwy Ste 4, Bloomington, IL 61704-7716 | 2016-04-27 |
| 1194181560 | Sleep Solutions of Central Illinois | Dentist | 2309 E. Empire St, Suite 500, Bloomington, IL 61704-8900 | 2016-01-14 |
| 1619353521 | Courtney Morgan | Dentist | 2306 Stern Dr, Bloomington, IL 61704-4406 | 2015-08-03 |
| 1508240763 | Marisa Lee Milligan | Dentist | 1404 Eastland Dr Ste 101, Bloomington, IL 61701-7904 | 2015-07-16 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
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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.