STEPHANIE KIM (NPI# 1255823175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255823175 |
Entity Type | Individual |
Full Name | STEPHANIE KIM |
Practice Address |
4250 Roswell Rd Ste 110 Marietta GA 30062-8114 |
Mailing Address |
3097 Maple Dr Ne Apt 544 Atlanta GA 30305-3056 |
Practice Telephone | 7705095585 |
Enumeration Date | 2018-06-06 |
Last Update Date | 2018-06-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DN015647 | GA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114415866 | Stephanie Kim | Pharmacist | 8312 E Hillsdale Dr, Orange, CA 92869-2445 | 2018-04-27 |
1881031656 | Stephanie S Kim | Family Medicine | 3231 S. Euclid Avenue, 5th Floor, Berwyn, IL 60402 | 2013-06-03 |
1861692162 | Stephanie J Kim | Chiropractor | 3030 W Olympic Blvd Ste 208, Los Angeles, CA 90006-6506 | 2007-07-24 |
1972149904 | Stephanie Younghye Kim | Nurse Practitioner | 2505 Santa Monica Blvd, Santa Monica, CA 90404-2011 | 2019-11-25 |
1164074746 | Stephanie Y Kim | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-07-12 |
1801459458 | Stephanie J Kim | Pharmacist | 1150 Baker St, Costa Mesa, CA 92626-4111 | 2019-04-18 |
1518431543 | Stephanie Kim | Marriage & Family Therapist | 5 Sacramento St, Cambridge, MA 02138-1812 | 2019-01-12 |
1659889616 | Stephanie Kim | Physical Therapist | 930 W Alameda Ave, Burbank, CA 91506-2802 | 2018-01-11 |
1891206108 | Stephanie Hyea-jin Kim | Pharmacist | 5944 N Figueroa St, Los Angeles, CA 90042-4230 | 2017-10-13 |
1538530332 | Stephanie Kim | Behavioral Analyst | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2015-10-19 |
Street Address |
4250 ROSWELL RD STE 110 |
City | MARIETTA |
State | GA |
Zip Code | 30062-8114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275967663 | Johnson Ferry Dentistry, PC | Dentist | 4250 Roswell Rd Ste 110, Marietta, GA 30062-8114 | 2013-08-21 |
1760009302 | Kyle John Emer | Dentist | 4250 Roswell Rd Ste 110, Marietta, GA 30062-8114 | 2020-06-30 |
1184148330 | Michelle Lee | Dentist | 4250 Roswell Rd Ste 110, Marietta, GA 30062-8114 | 2017-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
Find all providers in zip 30062 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427659028 | My Emergency Dental Ga, LLC | Dentist | 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 | 2020-11-02 |
1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
1104381359 | Castiblanco Dental Care LLC | Dentist | 3901 Roswell Rd Ste 220, Marietta, GA 30062-8816 | 2019-02-01 |
1982102653 | Superior Dental of East Cobb, LLC | Dentist | 2745 Sandy Plains Rd Ste 118, Marietta, GA 30066-4327 | 2018-01-29 |
1477068823 | Gina Dental LLC | Dentist | 1000 Johnson Ferry Rd Ste E125, Marietta, GA 30068-2100 | 2017-12-07 |
1669994109 | Boban Fidanoski | Dentist | 1150 Whitlock Ave Nw, Marietta, GA 30064-1933 | 2017-07-15 |
1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
1659724532 | Neha Chakravarti | Dentist | 2230 Roswell Rd Ste 200, Marietta, GA 30062-2945 | 2016-07-15 |
1104218361 | Georgia Dental Professionals, PC | Dentist | 3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252 | 2015-02-25 |
1124429212 | Family Tree Dental D Austin Rehl Dds and Peter E Lovejoy Dds LLC | Dentist | 30 Acme St, Marietta, OH 45750-3306 | 2014-09-09 |
Find all providers in MARIETTA |
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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.