DR. STEPHANIE HAEYOUNG OH (NPI# 1700262458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700262458 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE HAEYOUNG OH |
| Credential | D.M.D |
| Practice Address |
4404 16th St Moline IL 61265-7012 |
| Mailing Address |
4554 7th St Apt 6303 East Moline IL 61244-4685 |
| Practice Telephone | 3099486041 |
| Mailing Telephone | 8587354403 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019030405 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619597358 | Stephanie Oh | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2020-04-22 |
| 1871155168 | Stephanie Oh | Student in an Organized Health Care Education/Training Program | 6900 N Pecos Rd, North Las Vegas, NV 89086 | 2019-07-08 |
| 1649640541 | Stephanie Seungyeon Oh | Physician Assistant | 3400 Spruce St, 3 Silverstein, Philadelphia, PA 19104 | 2015-10-05 |
| 1215316567 | Stephanie Oh | Pharmacist | 1670 Clairmont Rd, Dept 119, Decatur, GA 30033-4004 | 2015-05-20 |
| Street Address |
4404 16TH ST |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952618902 | Michael Laughlin Dds PC | Dentist | 4404 16th St, Moline, IL 61265-7012 | 2010-09-10 |
| 1811445257 | Michelle Faye Ai-koon Goh | Dentist | 4404 16th St, Moline, IL 61265-7012 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1346623519 | Jennifer Lee Worner | Dentist | 2929 41st St, Moline, IL 61265-7858 | 2015-07-07 |
| 1891117198 | Ji Ma | Dentist | 4601 16th St Unit 12, Moline, IL 61265-7000 | 2014-01-06 |
| 1164774766 | Thomas James Goebel | Dentist | 1601 River Dr, Suite 300, Moline, IL 61265-1494 | 2012-10-05 |
| 1952618902 | Michael Laughlin Dds PC | Dentist | 4404 16th St, Moline, IL 61265-7012 | 2010-09-10 |
| 1023246451 | Jamie Dominic Nonnenmann | Dentist | 3823 - 15th St. D, Moline, IL 61265 | 2009-06-24 |
| 1922270784 | Gregory Anthony Solis | Dentist | 7017 John Deere Pkwy Ste 2b, Moline, IL 61265-8072 | 2008-04-01 |
| 1780853366 | Jacquelyn L Richardson | Dentist | 609 35th Ave Ste 3, Moline, IL 61265-6146 | 2008-02-27 |
| 1033234851 | Mark D Bollaert | Dentist | 3001 41st St, Moline, IL 61265-7826 | 2007-03-20 |
| 1811059413 | Troy James Roeder | Dentist | 5030 38th Avenue, Suite 1, Moline, IL 61265 | 2006-12-14 |
| Find all providers in MOLINE | ||||
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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.