HYUNG JOON KIM DDS PC (NPI# 1528613460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528613460 |
| Entity Type | Organization |
| Organization Name | HYUNG JOON KIM DDS PC |
| Practice Address |
516 N. Rolling Rd #201 Catonsville MD 21228 |
| Practice Telephone | 4107883434 |
| Practice Fax Number | 4107883493 |
| Mailing Telephone | 4107883434 |
| Mailing Fax Number | 4107883493 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | DR. HYUNG JOON KIM (PRESIDENT) |
| Authorized Official Telephone | 4107883434 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 019312700 | 05 |
| Other Name | Type Code |
|---|---|
| K&C Family Dentistry | Doing Business As Name - Organization |
| Street Address |
516 N. ROLLING RD #201 |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| 1063950186 | Btst Services | Case Management | 1900 N. Howard Street, 300, Baltimore, MD 21228 | 2017-02-09 |
| Find all providers in zip 21228 | ||||
| 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 |
|---|---|---|---|---|
| 1528230935 | Vijay A. Mathura Dds Pa | Dentist | 4 W Rolling Crossroads Rear 5, Catonsville, MD 21228-6278 | 2008-03-25 |
| 1700080181 | Bruce Alan Goldberg | Dentist | 611 Frederick Rd., Suite 101a, Catonsville, MD 21228-4779 | 2007-06-12 |
| 1417077959 | Dharani Jasthi | Dentist | 832 N Rolling Rd, Catonsville, MD 21228-4136 | 2007-03-29 |
| 1508953530 | Edward Bernard Leikin | Dentist | 616 Frederick Rd, Catonsville, MD 21228-4625 | 2006-10-10 |
| 1154421782 | John R Baronas Dmd Pa | Dentist | 1122 N Rolling Rd, Catonsville, MD 21228-3826 | 2006-09-24 |
| 1225074149 | Wilfred Joseph St Cyr | Dentist | 2114 Edmondson Avenue, Catonsville, MD 21228 | 2006-06-20 |
| 1629506647 | Marshall H Strickland IIi | Dentist | 616 Frederick Rd, Catonsville, MD 21228-4625 | 2017-06-03 |
| 1073853362 | Herbert Egert | Dentist | 4 E Rolling Crossroads, Suite 205, Catonsville, MD 21228-6210 | 2013-02-22 |
| 1902145840 | John R. Baronas | Dentist | 1122 N Rolling Rd, Catonsville, MD 21228-3826 | 2013-02-13 |
| 1891050944 | Scott B Eisen | Dentist | 616 Frederick Rd, Catonsville, MD 21228-4625 | 2012-07-05 |
| Find all providers in CATONSVILLE | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on HYUNG JOON KIM DDS PC.
| 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.