LONG KENNETH KHUU


Address: 964 Ajax Street, Jacksonville, FL 32212
Phone: 9045467094

LONG KENNETH KHUU (NPI# 1982215919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982215919
Entity Type Individual
Full Name LONG KENNETH KHUU
Credential DMD
Practice Address 964 Ajax Street
Jacksonville
FL 32212
Mailing Address 7413 Cliff Cottage Dr
Jacksonville
FL 32244-4404
Practice Telephone 9045467094
Mailing Telephone 8505307297
Enumeration Date 2020-08-13
Last Update Date 2020-08-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 24930 FL Dental Providers

Office Location

Street Address 964 AJAX STREET
City JACKSONVILLE
State FL
Zip Code 32212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952911752 Jeff Woohyeok Chang Dentist 964 Ajax Street, Jacksonville, FL 32212 2020-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518484427 Amy Kathryn Lee Student in an Organized Health Care Education/Training Program Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 2017-08-23
1659827970 Noah Fixelle Dentist Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 2016-08-28
1972953339 Colin Kenneth Kelly General Practice Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 2016-06-16
1912382359 Caitlyn Brooke Hoysock Dentist 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 2015-07-28
1285017418 John Alexander Ruch Dentist 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 2015-07-07
1407238561 Amanda Mona Lau Student in an Organized Health Care Education/Training Program 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 2015-06-25
1063894715 Heather Dehaan Family Medicine 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 2015-06-18
1912389677 Catherine Garcia Student in an Organized Health Care Education/Training Program 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 2015-06-18
1255712675 James Robert Benson Dentist 734 Keily Street, Bumed, Jacksonville, FL 32212 2015-06-11
1083093991 John Wunn Cancian Sr. Orthopaedic Surgery Bumed, Centralized Credential and Privileging Directora, 554 Keily Street, Jacksonville, FL 32212 2015-05-26
Find all providers in zip 32212

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902419864 Andre M Fang Dentist 6801 Roosevelt Blvd, Jacksonville, FL 32212-1192 2020-08-28
1952911752 Jeff Woohyeok Chang Dentist 964 Ajax Street, Jacksonville, FL 32212 2020-08-06
1093323479 Britney Marie Cruz Dentist 1280 Western Blvd Unit 200, Jacksonville, NC 28546-7658 2020-07-21
1083238786 Sleep Better Solutions LLC Dentist 4215 Southpoint Blvd Ste 240, Jacksonville, FL 32216-0932 2020-05-29
1114550258 James Moran Dentist 7990 Baymeadows Rd E # 718, Jacksonville, FL 32256-2961 2020-02-18
1265075329 Latoya Goins Dentist 1280 Western Blvd, Jacksonville, NC 28546-6653 2019-10-22
1437706462 Stephanie Marquez Dentist 751 Oak St Ste 601, Jacksonville, FL 32204-3373 2019-08-23
1831751064 Rachel Marie Schloth Dentist 12086 Fort Caroline Rd Ste 105, Jacksonville, FL 32225-2688 2019-07-09
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1235796954 Carolina Garcia Dentist 790 Skymarks Dr Ste 109, Jacksonville, FL 32218-7267 2019-05-29
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32212

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Dataset Information

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.

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