EUNEJENE KWAK (NPI# 1952615130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952615130 |
| Entity Type | Individual |
| Full Name | EUNEJENE KWAK |
| Other Name | JAY KWAK |
| Practice Address |
4536 Chamblee Dunwoody Rd Suite 211 Atlanta GA 30338-6200 |
| Practice Telephone | 7704551238 |
| Practice Fax Number | 7704889550 |
| Mailing Telephone | 7704551238 |
| Mailing Fax Number | 7704889550 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
4536 CHAMBLEE DUNWOODY RD SUITE 211 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558385658 | Martin Throne | Internal Medicine | 4536 Chamblee Dunwoody Rd, Suite 231, Atlanta, GA 30338-6200 | 2006-07-26 |
| 1144509852 | Dentistry for Children Cdcoa LLC | Dentist | 4536 Chamblee Dunwoody Rd, Suite 211, Atlanta, GA 30338-6200 | 2011-08-11 |
| 1720393291 | Yasheena Cara | Dentist | 4536 Chamblee Dunwoody Rd, Suite 211, Atlanta, GA 30338-6200 | 2010-08-09 |
| 1558599282 | Leigh Taylor Weldon | Dentist | 4536 Chamblee Dunwoody Rd, Suite 211, Atlanta, GA 30338-6200 | 2009-07-01 |
| 1124255302 | Morrison Dental Associates, P.C. | Dentist | 4536 Chamblee Dunwoody Rd, Suite 201, Atlanta, GA 30338-6200 | 2009-06-16 |
| 1316103195 | Simone A Igleton | Dental Assistant | 4536 Chamblee Dunwoody Rd, Atlanta, GA 30338-6200 | 2008-07-31 |
| 1700924735 | Childrens Dental Center of Atlanta PC | Dentist | 4536 Chamblee Dunwoody Rd, Suite 211, Atlanta, GA 30338-6200 | 2007-02-02 |
| 1548308554 | Sakita N Brown | Dentist | 4536 Chamblee Dunwoody Rd, Suite 211, Atlanta, GA 30338-6200 | 2007-02-02 |
| 1902944358 | Ronald A Eichel | Dentist | 4536 Chamblee Dunwoody Rd, Suite 211, Atlanta, GA 30338-6200 | 2007-02-01 |
| 1255479689 | Yoo Mee Kim | Dentist | 4536 Chamblee Dunwoody Rd, Suite 211, Atlanta, GA 30338-6200 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104336163 | Emily F Hoffmeyer | Dental Assistant | 11899 M 32, Atlanta, MI 49709-9374 | 2017-10-04 |
| 1316103195 | Simone A Igleton | Dental Assistant | 4536 Chamblee Dunwoody Rd, Atlanta, GA 30338-6200 | 2008-07-31 |
| 1255447561 | Felicia Johnson | Dental Assistant | 5505 Peachtree Dunwoody Rd, Ste 470, Atlanta, GA 30342 | 2006-08-21 |
| 1962518274 | Sonja Banks | Dental Assistant | 5505 Peachtree Dunwoody Rd, Ste 470, Atlanta, GA 30342 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629521828 | Carmen I Gaybort | Dental Assistant | 1456 Sheridan Pt, Hinesville, GA 31313-9198 | 2016-07-25 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| Find all providers with the same taxonomy | ||||
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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.