DR. BYUNGTAE HENRY KIM (NPI# 1366654360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366654360 |
| Entity Type | Individual |
| Full Name | DR. BYUNGTAE HENRY KIM |
| Credential | DDS |
| Practice Address |
570 Piermont Rd. Closter NJ 07624 |
| Practice Telephone | 2017507190 |
| Practice Fax Number | 2017507192 |
| Mailing Telephone | 2017507190 |
| Mailing Fax Number | 2017507192 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
13151 | NJ | Dental Providers |
| Street Address |
570 PIERMONT RD. |
| City | CLOSTER |
| State | NJ |
| Zip Code | 07624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
| 1114159175 | Family Counseling Center of Closter Nj Inc. | Community/Behavioral Health | Harrington Avenue and West Street, Closter, NJ 07624 | 2009-08-10 |
| 1780748566 | Dennis Chintala | Chiropractor | 273 Closter Dock Rd, Closter, NJ 07624 | 2006-12-19 |
| 1578677092 | Closter Dental PC | Dentist | 570 Piermont Rd, #c1, Closter, NJ 07624 | 2006-08-19 |
| 1154330876 | Niki Shabnam Mossaded | Dentist | 539 Durie Ave, Closter, NJ 07624 | 2006-08-05 |
| 1841215407 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 400 Demarest Ave, Closter, NJ 07624 | 2006-07-13 |
| 1427662394 | Trella Blythe Dolgin | Physical Therapist | 31 Vervalen St, Closter, NJ 07624 | 2020-09-08 |
| 1003204132 | Jennifer Anne Surak-zammitti | Social Worker | 294 Harrington Ave, Closter, NJ 07624 | 2014-12-23 |
| 1629246178 | Annette Kherlopian | Pharmacist | 400 Demarest Ave, Closter, NJ 07624 | 2008-02-19 |
| 1497865117 | Shyong Dental Group LLC | Dentist | 235 Closter Dock Rd, Closter, NJ 07624 | 2006-08-30 |
| Find all providers in zip 07624 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265655310 | Bergen Orthodontic Assoc., Pa | Dentist | 500 Piermont Rd, Closter, NJ 07624-2845 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452487 | Piskai Orthodontics LLC | Dentist | 302 Haddonfield Berlin Rd, Voorhees, NJ 08043-1413 | 2020-09-23 |
| 1992319537 | Nishat Anbar Shahabuddin | Dentist | 3123 Kennedy Blvd, North Bergen, NJ 07047-2378 | 2020-09-01 |
| 1770192239 | Eastern Dental Holdings, LLC | Dentist | 1030 St. Georges Avenue, Suite 304, Avenel, NJ 07001-1327 | 2020-07-30 |
| 1831714765 | Suzanne Quigley Dmd, LLC | Dentist | 130 Maple Ave Ste 2b, Red Bank, NJ 07701-1729 | 2020-06-16 |
| 1871114512 | Marigold Pediatric Dentistry and Orthodontics | Dentist | 1713 Springfield Ave, Maplewood, NJ 07040-2914 | 2020-05-05 |
| 1366076648 | Robert Vartkis Kinoian | Dentist | 138 Spring Valley Rd, Paramus, NJ 07652-5332 | 2020-02-26 |
| 1932732856 | Elite Orthodontics | Dentist | 61 Berdan Ave, Wayne, NJ 07470-3231 | 2020-02-19 |
| 1568006583 | Bowen Family Orthodontics, LLC | Dentist | 7 Myers Dr Ste B, Mullica Hill, NJ 08062-9513 | 2019-11-01 |
| 1376185181 | Robert Bray | Dentist | 620 Shore Road, Somers Point, NJ 08244 | 2019-10-14 |
| 1295376010 | Amy H Hoch | Dentist | 105 Reids Hill Rd Ste A, Matawan, NJ 07747-4003 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
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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.