JOON HYUK KIM


Address: 1931 Main St, Green Bay, WI 54302-3920
Phone: 8889884066

JOON HYUK KIM (NPI# 1740812197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740812197
Entity Type Individual
Full Name JOON HYUK KIM
Practice Address 1931 Main St
Green Bay
WI 54302-3920
Mailing Address 2050 E Algonquin Rd Ste 610
Schaumburg
IL 60173-4166
Practice Telephone 8889884066
Practice Fax Number 8474964850
Mailing Telephone 8889884066
Mailing Fax Number 8474964850
Enumeration Date 2020-02-04
Last Update Date 2020-02-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 1002240 WI Dental Providers

Office Location

Street Address 1931 MAIN ST
City GREEN BAY
State WI
Zip Code 54302-3920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629448170 Simerjeet Kaur Dentist 1931 Main St, Green Bay, WI 54302-3920 2015-09-28
1841800547 Jungik Hong Dentist 1931 Main St, Green Bay, WI 54302-3920 2020-08-06
1902458680 Rebecca El-khoury Dentist 1931 Main St, Green Bay, WI 54302-3920 2019-07-12
1922669779 Nidhi Nangia Dentist 1931 Main St, Green Bay, WI 54302-3920 2019-06-24
1568020238 Ashley Jan Dentist 1931 Main St, Green Bay, WI 54302-3920 2019-05-29
1154870228 Melissa Ann Yeager Dental Hygienist 1931 Main St, Green Bay, WI 54302-3920 2016-09-29
1437608502 Amy Jean Schowalter Dental Hygienist 1931 Main St, Green Bay, WI 54302-3920 2016-09-29
1700334265 Mihai Kiss Dentist 1931 Main St, Green Bay, WI 54302-3920 2016-09-13
1093260366 Mujtaba Khan Dentist 1931 Main St, Green Bay, WI 54302-3920 2016-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659721371 Carissa Marie Sawicki Counselor 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 2016-06-14
1891181459 Shannon Rae Mullins Registered Nurse 2254 Imperial Ln, Green Bay, WI 54302 2015-04-10
1346667045 David Howard Jadin Dentist 1245 Main St, Green Bay, WI 54302 2014-03-20
1407003577 Abby Baumgart Counselor 1234-21 Main St, Green Bay, WI 54302 2008-08-20
1447441779 Muller Eyecare Associates Ltd Optometrist 1776 E Mason St, Green Bay, WI 54302 2007-08-01
1851385231 Bornemann Nursing Home Inc Skilled Nursing Facility 226 Bornemann St, Green Bay, WI 54302 2005-08-31
1194188706 Familia Dental Green Bay LLC Dentist 1931 Main St., Green Bay, WI 54302 2016-03-31
1255710125 Kim Lawrence Social Worker 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 2015-05-26
1255464533 John Muller Optometrist 1776 E Mason St, Green Bay, WI 54302 2007-03-14
1851622005 Michael Andrew Larkey Social Worker 815 Reber St, Green Bay, WI 54302-1116 2010-01-27
Find all providers in zip 54302

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184240236 Casey Nan Messer Dentist 2805 Libal St Ste B, Green Bay, WI 54301-2888 2020-06-24
1003460551 Affordable Dentures & Implants - Green Bay, S.c. Dentist 1800-c W. Mason Street, Green Bay, WI 54303 2019-08-01
1275013641 David Alan Pass Dentist 844 Willard Dr # A, Green Bay, WI 54304-5265 2018-08-15
1831691872 Melanie Hammerbeck Dentist 1756 Cardinal Ln, Green Bay, WI 54313 2018-03-06
1114453024 Juan Sebastian Munoz Dentist 709 S Oneida St Ste 6, Green Bay, WI 54304-2475 2017-05-11
1851844161 Green Bay Family Dental LLC Dentist 2609 Development Dr., Green Bay, WI 54311 2016-08-03
1043663321 Thuy Nguyen Dentist 331 N Broadway, Green Bay, WI 54303-2701 2016-07-21
1629448170 Simerjeet Kaur Dentist 1931 Main St, Green Bay, WI 54302-3920 2015-09-28
1811307408 Adam Pasono Dentist 2313 S Webster Ave, Green Bay, WI 54301-2159 2014-05-05
1972764553 S. Patrick Maraka Dentist 2830 Curry Ct Ste 1, Green Bay, WI 54311-4877 2008-06-17
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54302

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Dataset Information

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.

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