DR. BYUNGDO B HAN (NPI# 1073993804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073993804 |
| Entity Type | Individual |
| Full Name | DR. BYUNGDO B HAN |
| Credential | D.D.S./PH.D. |
| Practice Address |
7701 Trenholm Road Ext Columbia SC 29223-1725 |
| Practice Telephone | 8037366000 |
| Mailing Telephone | 8037366000 |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 30.024500 | OH | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8892 | SC | Dental Providers |
| Street Address |
7701 TRENHOLM ROAD EXT |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306891833 | Felicia L. Goins | Dentist | 7701 Trenholm Road Ext, Columbia, SC 29223-1725 | 2006-05-23 |
| 1396899175 | Carolina Children's Dentistry, Pa | Dentist | 7701 Trenholm Road Ext, Columbia, SC 29223-1725 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668126 | Como Pediatric Dentistry LLC | Dentist | 1316 Old 63 S Ste 201, Columbia, MO 65201-6092 | 2017-09-25 |
| 1528585924 | Carolina Orthodontics and Pediatric Dentistry | Dentist | 921 Longtown Rd Ste B, Columbia, SC 29229-9498 | 2017-08-25 |
| 1154733509 | Carol Nixon | Dentist | 927 N. James Campbell Blvd, Suite 106, Bldg 1, Columbia, TN 38401 | 2014-05-20 |
| 1700151768 | Columbia Dentistry for Children | Dentist | 1000 W Nifong Blvd Ste 6-130, Columbia, MO 65203-5607 | 2012-03-09 |
| 1598094138 | Northeast Childrens Dentistry | Dentist | 147 Summit Centre Dr., Columbia, SC 29229 | 2009-12-10 |
| 1427176916 | B. Casey Crafton | Dentist | 10380 Old Columbia Rd Ste 102, Columbia, MD 21046-2005 | 2007-03-26 |
| 1215083696 | John Allen Gardner | Dentist | 1316 Old 63 South, Suite 201, Columbia, MO 65201-6045 | 2007-01-26 |
| 1639259047 | Robert Dale Coyle | Dentist | 1000 N Nifong, Bldg 6 Suite 130, Columbia, MO 65203 | 2006-10-17 |
| 1770678526 | Heather Huntley Owens | Dentist | 1706 Wedgewood Dr, Columbia, TN 38401-3527 | 2006-10-04 |
| 1770513293 | Lori Henderson | Dentist | 1506 Chapel Hill Rd Ste B, Columbia, MO 65203-5504 | 2006-07-03 |
| Find all providers in COLUMBIA | ||||
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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.