GRACE DENTAL CLINIC, P.A. (NPI# 1578736955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578736955 |
| Entity Type | Organization |
| Organization Name | GRACE DENTAL CLINIC, P.A. |
| Practice Address |
8850 Columbia 100 Pkwy Suite 201 Columbia MD 21045-2374 |
| Practice Telephone | 4109975699 |
| Practice Fax Number | 4109975633 |
| Mailing Telephone | 4109975699 |
| Mailing Fax Number | 4109975633 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | DR. CHRISTOPHER KEUNYOUNG YOO (DENTIST) |
| Authorized Official Telephone | 4109975699 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
13555 | MD | Ambulatory Health Care Facilities |
| Street Address |
8850 COLUMBIA 100 PKWY SUITE 201 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417923905 | Kendra Kirstie Kay | Internal Medicine | 8850 Columbia 100 Pkwy, Ste 301, Columbia, MD 21045-2377 | 2006-02-24 |
| 1659816254 | Javod K Gol Dds PC | Dentist | 8850 Columbia 100 Pkwy, Suite 312, Columbia, MD 21045-2374 | 2017-01-05 |
| 1215398334 | Innovative Psychiatry LLC | Psychiatry & Neurology | 8850 Columbia 100 Pkwy, Suite 403, Columbia, MD 21045-2374 | 2016-03-17 |
| 1124483029 | Roshni Liz Chettiar | Nurse Practitioner | 8850 Columbia 100 Pkwy, Suite 301, Columbia, MD 21045-2374 | 2015-12-18 |
| 1376910851 | Rachel Simms | Counselor | 8850 Columbia 100 Pkwy, #203, Columbia, MD 21045-2374 | 2015-08-31 |
| 1346575297 | George Lewis Carlson Jr. | Social Worker | 8850 Columbia 100 Pkwy, Suite 403, Columbia, MD 21045-2374 | 2009-10-09 |
| 1154558849 | Jocelyn Paulis Hagan | Social Worker | 8850 Columbia 100 Pkwy, Columbia, MD 21045-2374 | 2009-06-19 |
| 1457518243 | Edisa Tokovic Padder | Pediatrics | 8850 Columbia 100 Pkwy, Suite 301, Columbia, MD 21045-2374 | 2008-05-20 |
| 1174790851 | Cheryl Dewan Bansal | Specialist | 8850 Columbia 100 Pkwy, Suite 316, Columbia, MD 21045-2377 | 2008-05-13 |
| 1811177488 | Sheryl Denise Jefferson | Counselor | 8850 Columbia 100 Pkwy, 203, Columbia, MD 21045-2374 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
| 1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1497307730 | Robert C Wilhite Jr Dds Pllc | Clinic/Center | 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 | 2019-07-16 |
| 1609335066 | Dentistry for Children of Maryland, LLC | Clinic/Center | 8600 Snowden River Pkwy Ste 302, Columbia, MD 21045-1985 | 2019-03-15 |
| 1407314404 | Dental Wellness Center of Irmo, LLC | Clinic/Center | 2724 N Lake Dr Ste 304, Columbia, SC 29212-8733 | 2019-03-08 |
| 1386101459 | Columbia Dental Health Clinic | Clinic/Center | 2750 Laurel St Ste 202, Columbia, SC 29204-2024 | 2019-02-26 |
| 1821580622 | Columbia Smiles Downtown | Clinic/Center | 1310 Lady St Ste 600, Columbia, SC 29201-3327 | 2018-06-06 |
| 1427548353 | Simply Smile Pa | Clinic/Center | 7457 Patterson Rd Ste 107, Columbia, SC 29209-0710 | 2018-05-16 |
| 1477055481 | Southern Smiles Dental Studio Columbia LLC | Clinic/Center | 160 Summit Centre Dr, Columbia, SC 29229-7612 | 2018-03-06 |
| Find all providers in COLUMBIA | ||||
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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.