CALEB & TYLER KIM DDS LLC (NPI# 1124483250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124483250 |
| Entity Type | Organization |
| Organization Name | CALEB & TYLER KIM DDS LLC |
| Other Organization Name | AP&P DENTAL |
| Practice Address |
119 1st St Suite #2 Ho Ho Kus NJ 07423-1575 |
| Practice Telephone | 2016527711 |
| Practice Fax Number | 2016527350 |
| Mailing Telephone | 2016527711 |
| Mailing Fax Number | 2016527350 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | DR. JUNHYCK KIM (PRINCIPAL) |
| Authorized Official Telephone | 2016527711 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
22DI02489100 | NJ | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DI02596400 | NJ | Dental Providers |
| Other Name | Type Code |
|---|---|
| AP&P Dental | Doing Business As Name - Organization |
| Street Address |
119 1ST ST SUITE #2 |
| City | HO HO KUS |
| State | NJ |
| Zip Code | 07423-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070669 | Justin V Morris | Dentist | 119 1st St, Ho Ho Kus, NJ 07423-1575 | 2005-08-10 |
| 1275844730 | Junhyck Kim | Dentist | 119 1st St, Suite #2, Ho Ho Kus, NJ 07423-1575 | 2010-06-29 |
| 1407020902 | Gregory Clinton Thomas | Chiropractor | 119 1st St, Ho Ho Kus, NJ 07423-1575 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048019 | Debra A. Mccarthy | Speech-Language Pathologist | 611 North Maple Ave, Ho Ho Kus, NJ 07423 | 2019-01-31 |
| 1104335645 | Jennifer Mayo Ajosa | Psychologist | 110 Warren Ave Ste 6, Ho Ho Kus, NJ 07423 | 2017-09-27 |
| 1326424334 | Ridgewood Pediatric Therapy Associates, LLC | Occupational Therapist | 611 North Maple Avenue, Suite 7, Ho Ho Kus, NJ 07423 | 2015-08-03 |
| 1043483571 | Lester Dickinson Morris | Veterinarian | 205 Brookside Ave, Ho Ho Kus, NJ 07423 | 2008-04-04 |
| 1053508507 | Ronald Henry Vanslooten | Dentist | 110 Warren Avenue, Ho Ho Kus, NJ 07423 | 2007-09-28 |
| 1336343722 | Thomas Edward Kavanagh | Psychologist | 50 North Franklin Turnpike, Suite 204, Ho Ho Kus, NJ 07423 | 2007-06-12 |
| 1467535922 | Mary Ann Kezmarsky | Clinical Neuropsychologist | 31 Sheridan Avenue, Suite 1, Ho-ho-kus, NJ 07423 | 2006-10-20 |
| 1255395588 | Henry John Rose | Internal Medicine | 120 Blauvelt Ave, Ho Ho Kus, NJ 07423 | 2006-04-13 |
| 1013908987 | Lisa J Smartz | Dentist | 110 Warren Ave, Hohokus, NJ 07423 | 2005-10-31 |
| 1699968198 | Barbara Ann Maurer | Counselor | 625 N Maple Ave, Ho Ho Kus, NJ 07423 | 2007-08-20 |
| Find all providers in zip 07423 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275844730 | Junhyck Kim | Dentist | 119 1st St, Suite #2, Ho Ho Kus, NJ 07423-1575 | 2010-06-29 |
| 1568623163 | Michael W. Klotz | Dentist | 312 Warren Ave, Suite #1, Ho Ho Kus, NJ 07423-1581 | 2008-06-17 |
| 1184842999 | Prosthodontic Associates of Hohokus | Dentist | 312 Warren Ave, Ho Ho Kus, NJ 07423-1581 | 2007-04-24 |
| 1003999384 | Jorge Barrios | Dentist | 312 Warren Ave, Ho Ho Kus, NJ 07423 | 2006-10-23 |
| 1831281179 | R Brian Ullmann | Dentist | 312 Warren Ave, Ho Ho Kus, NJ 07423 | 2006-09-28 |
| 1699867929 | Gerald Barrack | Dentist | 312 Warren Ave, Ho Ho Kus, NJ 07423 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124403795 | Heba Elkassaby | Dentist | 110 Bergen St Rm C-703, Newark, NJ 07103-2495 | 2015-07-24 |
| 1396131371 | Nakul H Rathi | Dentist | 28 Powderhorn Dr, Rockaway, NJ 07866-4835 | 2015-04-07 |
| 1447507785 | Smile Design Specialist, L.L.C. | Dentist | 312 Belleville Turnpike, Suite 3-b, North Arlington, NJ 07031-6460 | 2012-08-06 |
| 1619234358 | Sherman Farahani | Dentist | 1100 Maxwell Ln Unit 1106, Hoboken, NJ 07030-6881 | 2012-04-19 |
| 1144595356 | Advanced Dental of Woolwich | Dentist | 1630 Rt 322, Suite F, Woolwich, NJ 08085 | 2012-03-21 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1013161553 | George Thomas Favetta Jr. | Dentist | 1966 Washington Valley Rd, Martinsville, NJ 08836-2037 | 2008-11-11 |
| 1740432137 | Central New Jersey Prosthodontics LLC | Dentist | 115 Copperfield Ln, Metuchen, NJ 08840-1234 | 2008-10-16 |
| 1043478977 | Edward J Kuch | Dentist | 733 River Road, Fair Haven, NJ 07704-3311 | 2008-05-28 |
| 1952573412 | Gail Patricia Petrosky | Dentist | 225 Gordons Corner Road, Suite 2e, Manalapan, NJ 07726 | 2008-03-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CALEB & TYLER KIM DDS LLC.
| 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.