ALEXANDER Y KIM (NPI# 1598287484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598287484 |
| Entity Type | Individual |
| Full Name | ALEXANDER Y KIM |
| Credential | DDS |
| Practice Address |
1135 W University Ave Georgetown TX 78628-5313 |
| Mailing Address |
3306 Northwest Blvd Georgetown TX 78628-4203 |
| Practice Telephone | 5122406623 |
| Mailing Telephone | 8476367612 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10680 | OR | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
36616 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2790 Nw 188th Ave Ste A, Hillsboro, OR 971247449 | 5038440700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056855 | Alexander Kim | Dentist | 4494 N Palmer Road Wrnmmc Buliding 9 Rm 2670, Bethesda, MD 20889-0001 | 2017-07-25 |
| 1467808774 | Alexander Hyun Kim | Acupuncturist | 23618 Locust Way, Bothell, WA 98021-9260 | 2016-05-05 |
| 1609190354 | Alexander H Kim | Internal Medicine | 1828 E Cesar Chavez, Suite 6200, Los Angeles, CA 90033-2585 | 2010-03-24 |
| 1841429404 | Alexander S Kim | Allergy & Immunology | 9500 Gilman Dr Dept 635, La Jolla, CA 92093-0635 | 2009-07-03 |
| 1780899328 | Alexander Kim | Dentist | 30 W 32nd St, 5th, New York, NY 10001-3817 | 2007-05-14 |
| 1265504583 | Alexander P Kim | Internal Medicine | 870 Shasta St Ste 200, Yuba City, CA 95991-4117 | 2006-11-14 |
| 1386726743 | Alexander Thomas Kim | Dentist | 485 34th St Ste 200, Oakland, CA 94609-2823 | 2006-10-19 |
| 1457356057 | Alexander Youngwhan Kim | Dentist | 5318 Nc Highway 55 Ste 106, Durham, NC 27713-9660 | 2005-06-20 |
| 1184139685 | Alexander Kim | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-06 |
| 1518411628 | Alexander Kim | Pharmacist | 1470 Marvin Rd Ne, Lacey, WA 98516-3870 | 2016-08-05 |
| Street Address |
1135 W UNIVERSITY AVE |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992130140 | Lauren Conway | Dentist | 1135 W University Ave, Georgetown, TX 78628-5313 | 2013-09-06 |
| 1124689872 | Timothy Patrick Johnson | Dentist | 1135 W University Ave, Georgetown, TX 78628-5313 | 2019-06-24 |
| 1629519590 | Ross Brenner | Dentist | 1135 W University Ave, Georgetown, TX 78628-5313 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| 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 |
|---|---|---|---|---|
| 1164084554 | Prameela Vennapusala | Dentist | 259 Fort Cobb Way, Georgetown, TX 78628-2121 | 2019-07-05 |
| 1427522796 | Brush32 Dental of Georgetown Pllc | Dentist | 1431 S Interstate 35 # 105, Georgetown, TX 78626-5419 | 2019-01-19 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1558726000 | Georgetown Dental Associates | Dentist | 20785 Professional Park Blvd, Georgetown, DE 19947-3198 | 2015-12-29 |
| 1811352966 | Georgetown Family and Cosmetic Dentistry | Dentist | 900 N Austin Ave Ste 319, Georgetown, TX 78626-4354 | 2015-12-16 |
| 1962811869 | Nancy Yousef | Dentist | 307 Oak Branch Dr, Georgetown, TX 78633-5638 | 2014-08-05 |
| 1013337500 | Family Total Dental Pa | Dentist | 508 Goodnight Dr, Georgetown, TX 78628-6956 | 2014-04-23 |
| 1992130140 | Lauren Conway | Dentist | 1135 W University Ave, Georgetown, TX 78628-5313 | 2013-09-06 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1841630738 | Keren Cherian | Dentist | 950 W University Ave Ste 101, Georgetown, TX 78626-6505 | 2013-06-25 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
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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.