HEUNG YOO (NPI# 1629524848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629524848 |
| Entity Type | Individual |
| Full Name | HEUNG YOO |
| Practice Address |
Us Army Dentac 9900 Lincoln Street, 2nd Floor Tacoma WA 98327 |
| Mailing Address |
9900 Lincoln Street, 2nd Floor, Attn:credentials Office Us Army Dentac Tacoma WA 98327 |
| Practice Telephone | 2536984079 |
| Practice Fax Number | 2539685919 |
| Mailing Telephone | 2539684079 |
| Mailing Fax Number | 2539685919 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS100415 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639133010 | Heung J Yoo | Radiology | 4000 Johnson Rd, Steubenville, OH 43952-2300 | 2006-04-13 |
| Street Address |
US ARMY DENTAC 9900 LINCOLN STREET, 2ND FLOOR |
| City | TACOMA |
| State | WA |
| Zip Code | 98327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693243 | Zachary Daniel White | Dentist | Us Army Dentac, 9900 Lincoln St 2nd Floor, Tacoma, WA 98327 | 2019-08-07 |
| 1669025680 | Ryan Beetham | Student in an Organized Health Care Education/Training Program | Us Army Dentac, 9900 Lincoln Street, 2nd Floor, Tacoma, WA 98327 | 2019-07-18 |
| 1912568031 | Schuler Preston Luce | Student in an Organized Health Care Education/Training Program | Us Army Dentac, 9900 Lincoln Street, 2nd Floor, Tacoma, WA 98327 | 2019-06-28 |
| 1306404959 | Alan George | Dentist | Us Army Dentac, 9900 Lincoln Street, 2nd Floor, Tacoma, WA 98327 | 2019-05-30 |
| 1538725544 | Jonna Lee Obermiller | Dental Hygienist | Us Army Dentac, 9900 Lincoln Street 2nd Floor, Tacoma, WA 98327 | 2019-05-15 |
| 1689120891 | Cierra Diamse | Dentist | Us Army Dentac, 9900 Lincoln Street, 2nd Floor, Tacoma, WA 98327 | 2016-08-28 |
| 1093123572 | Deepa Ramasamy | Dentist | Us Army Dentac, Bldg 9900, 2nd Floor Lincoln St., Tacoma, WA 98431-0001 | 2014-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683610 | Kathryn Michele Hines | Behavior Technician | 1570 Wilmington Dr #220, Dupont, WA 98327 | 2019-05-09 |
| 1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
| 1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
| 1659873453 | Jacqueline Patrick | Dental Assistant | 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327 | 2018-03-07 |
| 1215436431 | Careage Home Health LLC | Home Health | 1600 Marshall Circle, Dupont, WA 98327 | 2018-02-02 |
| 1649621400 | Charles Walter Woodruff II | Dentist | Joint Base Lewis-mccord Dentac, Dental Clinic 3, Jblm, WA 98327 | 2016-06-23 |
| 1164898532 | Richard Lauderback | Dentist | 9900 Lincoln Street, 2nd Floor, Attn: Credentials Office, Tacoma, WA 98327 | 2015-08-19 |
| 1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
| 1861731739 | Elizabeth Brooke Stout | Behavioral Analyst | 1570 Wilmington Drive, Ste 220, Dupont, WA 98327 | 2013-02-12 |
| 1184902116 | Lidiya Kozlova | Massage Therapist | 5006 Center St Dr Ste N, Aim Physical Therapy, Tacoma, WA 98327 | 2011-07-25 |
| Find all providers in zip 98327 | ||||
| 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 |
|---|---|---|---|---|
| 1881205904 | Bianca Elisa Gardner | Dentist | Building 9900 Lincoln Street, Tacoma, WA 98431-0001 | 2020-08-12 |
| 1568003002 | Dylan Morgan | Dentist | Bldg 9900 Lincoln St, Tacoma, WA 98431-0001 | 2019-10-07 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
| 1205327020 | Charles Lamar Lewis | Dentist | 9900 Lincoln St 2nd Floor, Tacoma, WA 98431-1100 | 2018-05-29 |
| 1265950737 | Scott Jeffrey Sullivan | Dentist | 3516 S 47th St Ste 104, Tacoma, WA 98409-4427 | 2017-09-06 |
| 1235687500 | Erika K. Ridgeway | Dentist | 1148 72nd St E Unit B, Tacoma, WA 98404-1806 | 2016-09-15 |
| 1003363631 | Giovanna Dainty | Dentist | 9900 Lincoln Street Us Army Dental Health Activity Jblm, Tacoma, WA 98431-0001 | 2016-09-01 |
| 1023563558 | Tiffany Lamberton | Dentist | 2522 N Proctor St # 29, Tacoma, WA 98406-5338 | 2016-08-25 |
| 1316491731 | Bradford Spika | Dentist | 3623 55th St Ne, Tacoma, WA 98422-4570 | 2016-08-15 |
| Find all providers in TACOMA | ||||
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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.