KIMBERLIE YUN, DMD, LLC (NPI# 1780112714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780112714 |
| Entity Type | Organization |
| Organization Name | KIMBERLIE YUN, DMD, LLC |
| Other Organization Name | CAPITAL DENTAL GROUP |
| Practice Address |
401 S Van Brunt St # 404 Englewood NJ 07631-4604 |
| Practice Telephone | 2015675667 |
| Practice Fax Number | 2015675646 |
| Mailing Telephone | 2015675667 |
| Mailing Fax Number | 2015675646 |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2017-06-04 |
| Authorized Official Name | KIMBERLIE YUN (DENTIST/OWNER) |
| Authorized Official Telephone | 8326618200 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Capital Dental Group | Doing Business As Name - Organization |
| Street Address |
401 S VAN BRUNT ST # 404 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194134064 | Kimberlie A Yun | Dentist | 401 S Van Brunt St # 404, Englewood, NJ 07631-4604 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774023 | Englewood Dental Arts LLC | Clinic/Center | 106 Grand Ave Ste 390, Englewood, NJ 07631-3570 | 2020-06-10 |
| 1295366599 | Daniel N. Goldweit, D.m.d., LLC | Clinic/Center | 285 Grand Ave Bldg 5, Englewood, NJ 07631-4369 | 2020-01-27 |
| 1831577378 | Lawrence M.willis Dds | Clinic/Center | 3012 S Broadway, Englewood, CO 80113-1529 | 2015-05-17 |
| 1225428816 | K Lee Kuhlke, Dds Ms PC | Clinic/Center | 1501 E Stanford Ave, Englewood, CO 80113-5949 | 2015-02-03 |
| 1760820047 | Advanced Dental Care of Englewood | Clinic/Center | 177 N Dean St Ste 206, Englewood, NJ 07631-2523 | 2013-06-10 |
| 1689288409 | Open and Affordable Dental Englewood Pllc | Clinic/Center | 101 W Hampden Ave, Englewood, CO 80110-2475 | 2020-08-31 |
| 1497379259 | Divergent Dental Group, LLC | Clinic/Center | 1861 Placida Rd Ste 105, Englewood, FL 34223-4900 | 2020-06-07 |
| 1659917094 | Alpine Dental Services Lincoln, Pllc | Clinic/Center | 12501 E Lincoln Ave, Englewood, CO 80112-4753 | 2019-11-20 |
| 1659886653 | Affinity Dental Arts, Pllc | Clinic/Center | 601 E Hampden Ave Ste 300, Englewood, CO 80113-2769 | 2017-12-12 |
| 1780019844 | Daniel Cohen, Dds, PC | Clinic/Center | 216 Engle St, Suite 204, Englewood, NJ 07631-2444 | 2013-09-09 |
| Find all providers in ENGLEWOOD | ||||
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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.