JUYOUNG AN


Address: 335r Prairie Ave, Providence, RI 02905-1961
Phone: 4104440430

JUYOUNG AN (NPI# 1023442316) 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) 1023442316
Entity Type Individual
Full Name JUYOUNG AN
Practice Address 335r Prairie Ave
Providence
RI 02905-1961
Mailing Address 375 Allens Ave
Providence
RI 02905-5010
Practice Telephone 4104440430
Practice Fax Number 4014440489
Mailing Telephone 4014440400
Mailing Fax Number 4014676866
Enumeration Date 2013-08-22
Last Update Date 2015-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 019030062 IL Dental Providers
Y 122300000X Dentist CDEN03251 RI Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
DN1856378 MA Dental Providers

Office Location

Street Address 335R PRAIRIE AVE
City PROVIDENCE
State RI
Zip Code 02905-1961

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588624647 William D Brown Pediatrics 335r Prairie Ave, Suite 1a, Providence, RI 02905 2006-03-24
1669955795 Neyda Dejesus Health Educator 335r Prairie Ave, Suite 2b, Providence, RI 02905 2018-09-14
1679066799 Rene Ellen Bartos Pediatrics 335r Prairie Ave, Ste. 1a, Providence, RI 02905-7573 2018-06-13
1003297052 Jairahadeep Singh Dentist 335r Prairie Ave, Providence, RI 02905-2426 2015-06-16
1992101026 Ahram Shin Dentist 335r Prairie Ave, Providence, RI 02905-2426 2014-11-17
1730443482 Luca Bartolini Psychiatry & Neurology 335r Prairie Ave, Suite 1a, Providence, RI 02905 2012-06-27
1922369255 Marko Stevanovic Dentist 335r Prairie Ave, Providence, RI 02905-0000 2012-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
1891265443 Carolyn Te Young Pathology 1320 Narragansett Blvd, Cranston, RI 02905 2018-11-27
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1922577394 Dilenia C Cruz Health Educator 335r Prairie Ave., Suite 2b, Providence, RI 02905 2018-11-15
1639653116 Varina S. Gunn Health Educator 335r Prarie Ave., Suite 2b, Providence, RI 02905 2018-09-20
1427590421 Cardea Healthcare LLC In Home Supportive Care 100 Pavilion Avenue, Suite 101, Providence, RI 02905 2016-11-08
1265884597 Maxwell King Physical Therapy Assistant 48 Moorland Avenue, Cranston, RI 02905 2016-07-11
1346698024 Samantha Lea Colli Physician Assistant 100 Dudley St Fl 3, Providence, RI 02905 2016-06-02
1346697448 Amy Jean Simpson Marriage & Family Therapist 1981 Broad Street, Cranston, RI 02905 2016-05-18
Find all providers in zip 02905

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
1033574975 Redwood Dental Dentist 271 N Spring Creek Pkwy, Suite D, Providence, UT 84332-9875 2015-12-18
1336492149 Carmel Absi Dentist 3 Regency Plz, Providence, RI 02903-3161 2012-10-17
1285981530 Jordan Joseph Hansen Dentist 169 N Gateway Drive, Suite 200, Providence, UT 84332 2012-08-06
1972734515 Celeste C Mortenson Dentist 169 N Gateway Dr Ste 175, Providence, UT 84332-9825 2009-07-30
1740499136 Roger N Carlsten Dentist 433 Lloyd Ave, Providence, RI 02906 2007-05-22
1053530733 Sunnyside Family Dental Dentist 381 Angell St, Providence, RI 02906-3214 2007-04-24
1205053899 John R Ricci Dentist 1252 Smith St, Providence, RI 02908 2007-04-18
1720111503 Diane T Monti Markowski Dentist 931 Smith Street, Providence, RI 02908 2007-03-13
1265560445 Jacob Werba Werba Dentist 655 Broad St, Providence, RI 02907-1444 2007-03-01
1487717302 Ernest P. Votolato Dentist 266 Wayland Ave, Providence, RI 02906-4524 2006-12-19
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 02905

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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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