KRISTINE EUNSONG KIM (NPI# 1285040998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285040998 |
| Entity Type | Individual |
| Full Name | KRISTINE EUNSONG KIM |
| Credential | DDS |
| Practice Address |
3233 Superior Lane Suite B-25 Bowie MD 20715 |
| Practice Telephone | 3012623535 |
| Practice Fax Number | 3014643478 |
| Mailing Telephone | 3012623535 |
| Mailing Fax Number | 3014643478 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12497 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552136 | Kristine Kim | Pharmacist | 6715a Arlington Blvd, Falls Church, VA 22042-2728 | 2020-09-09 |
| 1962999235 | Kristine Nayeon Kim | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2018-04-21 |
| 1396113965 | Kristine Kim | Pharmacist | 2100 N 45th St, Seattle, WA 98103-6902 | 2015-09-12 |
| 1538220785 | Kristine Sujung Kim | Pharmacist | 423 E 23rd St, New York, NY 10010-5011 | 2006-12-12 |
| Street Address |
3233 SUPERIOR LANE SUITE B-25 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356441612 | Gordon Formica & Love Dds Pa | Dentist | 3233 Superior Lane, B-25, Bowie, MD 20715 | 2006-09-25 |
| 1508132028 | Francis A Formica Jr. | Dentist | 3233 Superior Lane, Bowie, MD 20715 | 2012-03-29 |
| 1528334034 | Allan Stephan Love | Dentist | 3233 Superior Lane, Bowie, MD 20715 | 2012-03-29 |
| 1457627838 | Rex Yoon-tae Cho | Dentist | 3233 Superior Lane, Suite B-25, Bowie, MD 20715 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| 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 |
|---|---|---|---|---|
| 1932667367 | Dhruva Atul Gurjar | Dentist | 4321 Collington Rd Ste 210, Bowie, MD 20716-2263 | 2019-03-05 |
| 1093279176 | Bowie Dental Group LLC | Dentist | 14300 Gallant Fox Ln Ste 208, Bowie, MD 20715-4033 | 2019-01-23 |
| 1760924559 | Emona Kraja | Dentist | 3060 Mitchellville Rd Ste 105, Bowie, MD 20716-3965 | 2016-11-09 |
| 1295098325 | Margo Ree Adesanya | Dentist | 6911 Laurel - Bowie Rd, Suite 204, Bowie, MD 20715 | 2012-06-22 |
| 1285901801 | Neibauer Dental Care, P.C. | Dentist | 6141 Highbridge Rd, Bowie, MD 20715 | 2011-11-28 |
| 1063655009 | Daquant N Hornbeak | Dentist | 4000 Mitchellville Rd Ste B426, Bowie, MD 20716-3159 | 2009-04-07 |
| 1235320847 | Alvin Elliot Lee | Dentist | 6808 Laurel Bowie Rd, Bowie, MD 20715-1709 | 2007-08-08 |
| 1508078007 | Ambiance Dental Spa | Dentist | 12500 A Fairwood Parkway, Bowie, MD 20720 | 2007-05-04 |
| 1336362961 | Robert L St John | Dentist | 307 W Tarrant St, Suite C, Bowie, TX 76230 | 2007-04-11 |
| 1730218603 | Glenn Cocoros | Dentist | 1522 Pointer Ridge Pl, Suite K, Bowie, MD 20716-1875 | 2007-03-05 |
| Find all providers in BOWIE | ||||
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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.