DR. ALEN CRYSTAL KIM (NPI# 1609921295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609921295 |
Entity Type | Individual |
Full Name | DR. ALEN CRYSTAL KIM |
Practice Address |
3592 Highway 138 Se Stockbridge GA 30281-4171 |
Practice Telephone | 7705063955 |
Practice Fax Number | 7705063225 |
Mailing Telephone | 7707894511 |
Mailing Fax Number | 7705063255 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 12298 | GA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | DENTIST STATE LICENSE | 12298 | 01 |
Street Address |
3592 HIGHWAY 138 SE |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-4171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
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 |
---|---|---|---|---|
1083198865 | Affordable Dentures - Stockbridge, P.C. | Dentist | 3576 Highway 138 Se Ste C, Stockbridge, GA 30281-7822 | 2018-09-18 |
1093217085 | Sleep Group South Inc | Dentist | 1229 Eagles Landing Pkwy Ste C, Stockbridge, GA 30281-5114 | 2018-03-06 |
1891108114 | Dental One Associates (stockbridge) LLC | Dentist | 1233 Eagles Landing Pkwy Ste G, Stockbridge, GA 30281-6399 | 2014-06-04 |
1588911267 | Stockbridge Family Dental Group PC | Dentist | 3579 Highway 138 Se Ste 202, Stockbridge, GA 30281-6807 | 2012-08-13 |
1992914493 | Janet Hiers Duncan | Dentist | 212 Village Center Pkwy, Stockbridge, GA 30281-9044 | 2007-05-21 |
1952522591 | Heather Michelle Adiska | Dentist | 100 West Main, Stockbridge, MI 49285 | 2007-05-01 |
1356423230 | Randolph Charles Daniel | Dentist | 5634 N Henry Blvd, Suite C, Stockbridge, GA 30281-3418 | 2006-10-19 |
1992890511 | David A. Murphy | Dentist | 5473 North Henry Blvd., Suite 1, Stockbridge, GA 30281 | 2006-10-03 |
1669566717 | Brian K Buchanan | Dentist | 1040 Eagles Landing Parkway Bldg 200, Stockbridge, GA 30281 | 2006-10-03 |
1205939899 | Smile Brite Dental | Dentist | 4084 N Henry Blvd, Stockbridge, GA 30281 | 2006-09-07 |
Find all providers in STOCKBRIDGE |
City | STOCKBRIDGE |
Zip Code | 30281 |
Please comment or provide details below to improve the information on DR. ALEN CRYSTAL KIM.
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.