HJ KIM DDS, PA (NPI# 1467783092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467783092 |
| Entity Type | Organization |
| Organization Name | HJ KIM DDS, PA |
| Other Organization Name | SMART DENTAL |
| Practice Address |
9501 Old Annapolis Rd Ste. 200 A Ellicott City MD 21042-6314 |
| Practice Telephone | 4107401484 |
| Practice Fax Number | 4107401486 |
| Mailing Telephone | 4107401484 |
| Mailing Fax Number | 4107401486 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | DR. HEEJUNG KIM (OWNER) |
| Authorized Official Telephone | 4107401484 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 13733 | MD | Dental Providers |
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
13733 | MD | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
13733 | MD | Dental Providers |
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13733 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 028082800 | 05 |
| Other Name | Type Code |
|---|---|
| Smart Dental | Doing Business As Name - Organization |
| Street Address |
9501 OLD ANNAPOLIS RD STE. 200 A |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389086 | Catherine Mailander | Pediatrics | 9501 Old Annapolis Rd, Suite 101, Ellicott City, MD 21042-6314 | 2005-07-11 |
| 1952837114 | Brittany Becraft | Physical Therapist | 9501 Old Annapolis Rd, Dorsey Hall Medical Center, Suite 125, Ellicott City, MD 21042-6314 | 2017-05-10 |
| 1649635525 | Anna Lamdin | Nurse Practitioner | 9501 Old Annapolis Rd, Suite 308, Ellicott City, MD 21042-6314 | 2015-12-21 |
| 1306223227 | National Rehabilitation Hospital, Inc. | Physical Therapist | 9501 Old Annapolis Rd, Suite 125, Ellicott City, MD 21042-6314 | 2015-04-29 |
| 1447506662 | Jessica R Krug | Physical Therapist | 9501 Old Annapolis Rd, Ellicott City, MD 21042-6314 | 2012-07-25 |
| 1164786786 | Women's Wellness Md, LLC | Obstetrics & Gynecology | 9501 Old Annapolis Rd, Suite 305, Ellicott City, MD 21042-6314 | 2012-06-28 |
| 1821328212 | Kimberly Denise Hanson | Physical Therapist | 9501 Old Annapolis Rd, Dorsey Hall Medical Center, Suite 125, Ellicott City, MD 21042-6314 | 2010-01-06 |
| 1023243045 | Lindsay W Jones | Pediatrics | 9501 Old Annapolis Rd, Suite 220, Ellicott City, MD 21042-6314 | 2009-05-19 |
| 1699900605 | Melanie E Bhatnagar | Pediatrics | 9501 Old Annapolis Rd, Suite 101, Ellicott City, MD 21042-6314 | 2009-05-19 |
| 1487893038 | Imani Mack | Physical Therapist | 9501 Old Annapolis Rd, Ellicott City, MD 21042-6314 | 2009-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| 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 |
|---|---|---|---|---|
| 1730746074 | Don A. Coronel, Dds, Pa | Dentist | 3419 Plumtree Dr Ste 100, Ellicott City, MD 21042-3871 | 2019-05-22 |
| 1942733423 | Ellicott Dental & Specialty LLC | Dentist | 9200 Baltimore National Pike Ste E, Ellicott City, MD 21042-2613 | 2017-04-11 |
| 1639431760 | Damian D. Blum D.m.d., P.a. | Dentist | 10132 Baltimore National Pike Ste C, Ellicott City, MD 21042-3607 | 2012-06-14 |
| 1790047306 | Hyun Dong Kim | Dentist | 9275 Baltimore National Pike Ste 103, Ellicott City, MD 21042-3943 | 2012-06-10 |
| 1407153240 | Sarlak, Honar & Associates, LLC | Dentist | 10040 Baltimore National Pike, Suite E110, Ellicott City, MD 21042-3693 | 2011-02-14 |
| 1457665770 | Hak Seok | Dentist | 9171 Baltimore National Pike Ste 125, Ellicott City, MD 21042-3944 | 2010-07-28 |
| 1649428392 | Robert Wayne Boman | Dentist | 8374 Main St, Ellicott City, MD 21043-4653 | 2008-09-07 |
| 1609048552 | Craig Blucher | Dentist | 4920 Waterloo Road, Suite B, Ellicott City, MD 21042-6689 | 2008-04-01 |
| 1295935898 | Stephen Louis Meyer | Dentist | 5036 Dorsey Hall Dr, Ellicott City, MD 21042-7890 | 2007-07-20 |
| 1699896282 | Petro Mychajlo Tymiuk | Dentist | 10316a Baltimore National Pike, Ellicott City, MD 21042-2128 | 2007-04-02 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
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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.