EOM JI LEE (NPI# 1205219318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205219318 |
| Entity Type | Individual |
| Full Name | EOM JI LEE |
| Practice Address |
3438 Taylor Blvd Louisville KY 40215 |
| Mailing Address |
3438 Taylor Blvd Louisville KY 40215-2648 |
| Practice Telephone | 5023664442 |
| Practice Fax Number | 5023664446 |
| Mailing Telephone | 5023664442 |
| Mailing Fax Number | 5023664446 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9637 | KY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Winchester Ave, Ashland, KY 411017362 | 6066189963 |
| Street Address |
3438 TAYLOR BLVD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386749703 | Melanie Renee Abrams | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2006-09-13 |
| 1679051809 | Brooke Elizabeth Shelton | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2018-07-31 |
| 1235580937 | John Quinn Martino | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2016-06-24 |
| 1194103127 | Community Care of Kentucky, Inc | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2015-05-11 |
| 1851779888 | Community Care of Kentucky, Inc | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2015-05-11 |
| 1215327994 | Community Care of Kentucky, Inc. | Pediatrics | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2015-02-02 |
| 1407260052 | Community Care of Kentucky Inc. | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2014-06-11 |
| 1881014850 | Kacie Bowles Sharpe | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2014-04-17 |
| 1144537424 | Vitalia I Kadylak | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2010-09-08 |
| 1720308828 | Rohini Ketan Shah | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2010-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869878 | Miram Shaheen | Dentist | 600 Marshall St Unit 128, Louisville, KY 40202-3618 | 2020-10-19 |
| 1396351243 | Haaken Reed Magnuson | Dentist | 4600 Taylorsville Rd, Louisville, KY 40220-3530 | 2020-09-16 |
| 1629687181 | Joanna Higdon | Dentist | 4122 Shelbyville Rd Ste 103, Louisville, KY 40207-3206 | 2020-07-30 |
| 1386253847 | Hannah Pope | Dentist | 6801 Dixie Hwy Ste 128, Louisville, KY 40258-3940 | 2020-07-29 |
| 1801404256 | William Jacob Brown | Dentist | 335 W South Boulder Rd Ste 4, Louisville, CO 80027-1192 | 2020-07-21 |
| 1144838764 | My Smile Dental Services, Pllc | Dentist | 5014b Preston Hwy, Louisville, KY 40213-2217 | 2020-07-20 |
| 1164068722 | Kentucky On-site Dental Services LLC | Dentist | 307 Longview Park Pl, Louisville, KY 40245-6217 | 2019-11-19 |
| 1700448875 | Elizabeth Anne Riordan | Dentist | 701 Sunnyside Dr, Louisville, KY 40206-2922 | 2019-06-28 |
| 1669031381 | Adam Jatin Parikh | Dentist | 2400 Mellwood Ave Apt 927, Louisville, KY 40206-1066 | 2019-06-06 |
| 1689232175 | Paige Higdon Cogan | Dentist | 1009 Alta Vista Rd, Louisville, KY 40205-1727 | 2019-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on EOM JI LEE.
| 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.