DR. MYUNGSUK KOH (NPI# 1679853063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679853063 |
| Entity Type | Individual |
| Full Name | DR. MYUNGSUK KOH |
| Credential | DMD |
| Practice Address |
302 Jamerson Ct Glen Allen VA 23059-5678 |
| Mailing Address |
4017 Lauderdale Dr Henrico VA 23233-1082 |
| Practice Telephone | 7815352834 |
| Mailing Telephone | 8049131710 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401413547 | VA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN1855839 | MA | Dental Providers |
| Street Address |
302 JAMERSON CT |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059-5678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| 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 |
|---|---|---|---|---|
| 1750733838 | Vinny Karia | Dentist | 2450 Old Brick Rd Apt 1434, Glen Allen, VA 23060-6000 | 2016-07-12 |
| 1922408194 | Hendrick B. Tafo-tabue, Dds, PC | Dentist | 12201 Tiverton Ln, Glen Allen, VA 23059-7015 | 2014-08-25 |
| 1922267640 | Anne Carter Adams | Dentist | 10127 West Broad Street, Suite Q, Glen Allen, VA 23060 | 2008-06-06 |
| 1720265820 | Bradley Richard Anderson | Dentist | 11420 W Broad Street, Glen Allen, VA 23060 | 2008-01-31 |
| 1669650750 | Surya P. Dhakar, D.d.s., P.C. | Dentist | 4440 Springfield Rd Ste 101, Glen Allen, VA 23060-3410 | 2008-01-31 |
| 1962522839 | Clinton J. Norris, D.d.s., P.C. | Dentist | 4445 Cox Rd, Glen Allen, VA 23060-3326 | 2007-04-01 |
| 1215072459 | Farshid Soltanian | Dentist | 3944 Springfield Rd, Glen Allen, VA 23060-4119 | 2007-02-21 |
| 1245382878 | Steven K Larkin | Dentist | 10212 Staples Mill Road, Glen Allen, VA 23060 | 2007-01-16 |
| 1922169432 | Steven T Bunn | Dentist | 4701 Cox Rd Ste 285, Glen Allen, VA 23060-6808 | 2006-12-12 |
| 1780753053 | James Robert Clark | Dentist | 12413 Fremont Dr, Glen Allen, VA 23059-6995 | 2006-11-08 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
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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.