DR. YONG SOO KIM (NPI# 1265684161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265684161 |
| Entity Type | Individual |
| Full Name | DR. YONG SOO KIM |
| Credential | DDS |
| Practice Address |
618th Dental Company Unit#15653 Camp Red Cloud Apo AP 96258-5653 |
| Mailing Address |
Hq, 618 Dental Company (as) Usadentac Korea Attn: Credentials, Unit#15652 Bldg S-5403 Apo AP 96205-5652 |
| Practice Telephone | 8227326910 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2015-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7113006-9921 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982095766 | Yong Lan Kim | Acupuncturist | 3044 W 7th St, Los Angeles, CA 90005-1452 | 2015-02-14 |
| 1134480684 | Yong Kim | Dentist | 11 The Boulvevard Street, Suite 1 Level 2, Strathfield, NSW 2135 | 2012-05-31 |
| 1205000692 | Yong Sung Kim | Acupuncturist | 249 E. Beverly Blvd., #b, Montebello, CA 90640-4752 | 2008-04-16 |
| 1265604433 | Yong Hun Kim | Acupuncturist | 998 E El Camino Real Ste 202, Sunnyvale, CA 94087-7913 | 2008-03-28 |
| 1720256076 | Yong Mo Kim | Pharmacist | 1797 Lexington Ave (pharmacy), New York, NY 10029 | 2008-02-20 |
| 1588844971 | Yong Kee Kim | Acupuncturist | 20314a Norwalk Blvd, Lakewood, CA 90715-1539 | 2007-11-14 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1356535124 | Yong Kyu Kim | Chiropractor | 5453 N Macarthur Blvd, Irving, TX 75038-3104 | 2007-09-05 |
| 1831312644 | Yong Yul Kim | Dentist | 3100 W 8th St, Suite 105, Los Angeles, CA 90005-1978 | 2007-04-10 |
| 1215061577 | Yong J Kim | Specialist | 3055 Wilshire Blvd Ste 100, Los Angeles, CA 90010-1119 | 2007-03-16 |
| Street Address |
618TH DENTAL COMPANY UNIT#15653 CAMP RED CLOUD |
| City | APO |
| State | AP |
| Zip Code | 96258-5653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623172 | Matthew Gregory Henderson | Physician Assistant | Psc 311, Us Army, Apo, AP 96258 | 2018-09-18 |
| 1295931384 | 121st Csh/baach | Clinic/Center | Unit 15653, Bldg S306, Apo, AP 96258 | 2007-06-25 |
| 1437364502 | 121st Csh/baach | Clinic/Center | Unit 15303, Apo, AP 96258 | 2007-05-11 |
| 1518036722 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 306, Apo, AP 96258-0189 | 2006-11-06 |
| 1629345608 | Kyoung S Boltuc | Registered Nurse | 629th Medical Company, Unit # 15342, Apo, AP 96258-5342 | 2011-11-19 |
| 1376532861 | Force Health Protection 18th Medbn | Military Hospital | A Co 168th Med Bn(as), Unit# 15342, Apo, AP 96258-5342 | 2005-10-18 |
| 1265709240 | Usameddac-k,fhp,ohs | Military Hospital | 629th Medical Company, Unit # 15342, Apo, AP 96258-5342 | 2011-11-19 |
| 1285618801 | Barry Garland Bishop | Dentist | 618th Dent Co (as), Unit # 15653, Crc, Apo, AP 96258-5653 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
| 1255931689 | Stephanie Ann Lyons | Social Worker | Psc 80 Box 608, Apo, AP 96367-9998 | 2020-10-26 |
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1740889559 | Caitlyn Paige Parnell | Registered Nurse | Patch Barracks Illinoisstrasse 70569, Bld 2300, Apo, AE 09046 | 2020-10-22 |
| 1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
| 1093312928 | Richard Keith Smith | Physical Therapist | Landstuhl Regional Medical Centr, Apo, AE 09067 | 2020-10-05 |
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| Find all providers in APO | ||||
| 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 |
|---|---|---|---|---|
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1891311379 | Jonathan Frederick Weaver | Dentist | Headquarters United States Army Dental Health Activity, 4323 Hill Street, Apo, AA 29207-6022 | 2020-06-22 |
| 1457975583 | Connor English | Dentist | Carius Dental Clinic Bldg#p3020, Apo, AP 96205-5244 | 2020-06-04 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1972082451 | Mark Rutledge Mcshane | Dentist | 618th Dental Company (as), Usa Dentac-korea Unit #15660 Bldg # P 3020, Apo, AP 96271-5660 | 2018-08-07 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
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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.