ILLNAHM CHUNG (NPI# 1235380999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235380999 |
| Entity Type | Individual |
| Full Name | ILLNAHM CHUNG |
| Credential | D.M.D. |
| Practice Address |
2102 E Osceola Pkwy Ste 21022104 Kissimmee FL 34743-8630 |
| Mailing Address |
8224 Via Verona Orlando FL 32836-7700 |
| Practice Telephone | 4072013998 |
| Mailing Telephone | 3212794633 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2011-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 15949 | FL | Dental Providers |
| Street Address |
2102 E OSCEOLA PKWY STE 21022104 |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34743-8630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740844711 | Orlando Health Services At Central Florida LLC | Nurse Practitioner | 2685 Maxwell Ct W, Kissimmee, FL 34743 | 2019-04-25 |
| 1104316751 | Melissa Lymari Martinez | Case Manager/Care Coordinator | 139 Puelba Ln, Kissimmee, FL 34743 | 2018-05-18 |
| 1083087886 | Brenda Torres | Social Worker | 2203 Gatwick Ct., Kissimmee, FL 34743 | 2015-11-03 |
| 1629473582 | Catalina Lasso | Counselor | 2005 Lacie Jo Ln, Kissimmee, FL 34743 | 2014-11-04 |
| 1114326584 | Alexandra Buxo | Social Worker | 2182 Cypress Bay Blvd, Kissimmee, FL 34743 | 2014-08-21 |
| 1558609040 | Ana Paula Machado Bernardi | Pharmacist | 2005 E Osceola Pkwy, Kissimmee, FL 34743 | 2013-01-18 |
| 1093075954 | Lynda A Gonsalves | Counselor | 220 N Lake Ct, Kissimmee, FL 34743 | 2012-05-24 |
| 1912264805 | Mario E Perez | Occupational Therapist | 2517 Hikers Ct, Kissimmee, FL 34743 | 2012-04-16 |
| 1003118555 | Alvaro Jose Altamirano | Family Medicine | 729 Buenaventura Blvd, Kissimmee, FL 34743 | 2010-12-02 |
| 1891929402 | Federico Nicholas | Physical Therapy Assistant | 1441 Fortune Rd, #256, Kissimmee, FL 34743 | 2009-05-11 |
| Find all providers in zip 34743 | ||||
| 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 |
|---|---|---|---|---|
| 1598303588 | Lasting Smiles of Kissimmee LLC | Dentist | 1135 W Columbia Ave, Kissimmee, FL 34741-3202 | 2019-12-20 |
| 1710431531 | Sage Dental of The Loop Pllc | Dentist | 1188 W Osceola Parkway, Kissimmee, FL 34741 | 2016-08-10 |
| 1295181790 | Dental Elements, Pa | Dentist | 701 E Oak St Ste B, Kissimmee, FL 34744-4575 | 2016-05-13 |
| 1013373893 | Jenny Narvaez | Dentist | 2916 Vineland Rd, Kissimmee, FL 34746-5503 | 2016-01-08 |
| 1629458294 | Maykel Sierra | Dentist | 745 W Osceola Pkwy, Kissimmee, FL 34741-7565 | 2015-06-09 |
| 1801183165 | Kenneth Rajiv Jainandan | Dentist | 1188 W Osceola Pkwy, Kissimmee, FL 34741-7515 | 2011-07-06 |
| 1538460233 | Hallmark Dental | Dentist | 1014 Buenaventura Blvd, Kissimmee, FL 34743-7865 | 2010-11-11 |
| 1457585242 | Joseph Adam Ata | Dentist | 3291 S John Young Parkway, Suite B, Kissimmee, FL 34746 | 2009-05-07 |
| 1548423551 | Nyhale Elgawley | Dentist | 3268 Greenwald Way N, Kissimmee, FL 34741-0728 | 2008-07-09 |
| 1659555001 | Raphael Alejandro Ason | Dentist | 3172 Bill Beck Blvd, Kissimmee, FL 34744-1608 | 2007-12-20 |
| Find all providers in KISSIMMEE | ||||
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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.