DR. SUNG JOO KIM (NPI# 1750522181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750522181 |
| Entity Type | Individual |
| Full Name | DR. SUNG JOO KIM |
| Credential | D.M.D |
| Practice Address |
7302 Waterloo Walk Laurel MD 20707-6914 |
| Practice Telephone | 2402647143 |
| Mailing Telephone | 2402647143 |
| Enumeration Date | 2009-03-15 |
| Last Update Date | 2009-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14274 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652631 | Sung Chol Kim | Physician Assistant | 210th Fa Bde, Unit # 15564, Apo, AP 96224 | 2018-06-13 |
| 1316305352 | Sung Ho Kim | Dentist | 1001 Chesterfield Pkwy E Ste 202, Chesterfield, MO 63017-2167 | 2016-02-05 |
| 1235503632 | Sung Kim | Acupuncturist | 1609 W Portsmith Ln, Arlington Heights, IL 60004-7958 | 2015-11-23 |
| 1871896928 | Sung Soo Kim | Pharmacist | 2243 Eagle Glen Pkwy, Corona, CA 92883-0785 | 2010-12-13 |
| 1376858480 | Sung Yee Kim | Pharmacist | 255 S Hill St, 217, Los Angeles, CA 90012-3500 | 2010-08-12 |
| 1124269741 | Sung Kim | Nurse Practitioner | 4401 Francis Lewis Blvd Ste 3a, Bayside, NY 11361-3002 | 2009-03-11 |
| 1417154659 | Sung Y Kim | Radiology | 24 Davonshire Dr, Pittsburgh, PA 15238-1530 | 2007-06-29 |
| 1023219045 | Sung H Kim | Dentist | 14936 Northern Blvd, #201, Flushing, NY 11354-3884 | 2007-05-29 |
| 1346460714 | Sung Ho Kim | Acupuncturist | 5269 Buford Hwy Ne Ste 15, Doraville, GA 30340-1100 | 2007-04-26 |
| 1457570897 | Sung H. Kim | Dentist | 300 S. Harvard Blvd., Los Angeles, CA 90020 | 2007-04-24 |
| Street Address |
7302 WATERLOO WALK |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| 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 |
|---|---|---|---|---|
| 1942769468 | Vaibhav Rai Dds LLC | Dentist | 7350 Van Dusen Rd Ste 440, Laurel, MD 20707-5265 | 2019-03-14 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1104319029 | Charming Smiles Family Dentistry | Dentist | 14333 Laurel Bowie Rd Ste 307, Laurel, MD 20708-1183 | 2018-06-14 |
| 1265959837 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 13919 Baltimore Ave, Laurel, MD 20707-5044 | 2017-08-24 |
| 1245602168 | Robert F. Gradishar Dds Pa | Dentist | 11200 Scaggsville Rd Ste 119, Laurel, MD 20723-2024 | 2015-10-30 |
| 1891167193 | Laurel Pines Dental 100 LLC | Dentist | 14333 Laurel Bowie Rd Ste 100, Laurel, MD 20708-1149 | 2015-10-26 |
| 1447695127 | Jeffrey Bartoshesky | Dentist | 10250 Stone Creek Dr Unit 1, Laurel, DE 19956-4707 | 2013-05-08 |
| 1508111907 | Halima R Karim | Dentist | 8383 Cherry Ln, Laurel, MD 20707-4832 | 2012-07-21 |
| 1154631075 | Dental Professionals of Maryland, Gerald Awadzi, PC | Dentist | 7500 Montpelier Rd Ste 108, Laurel, MD 20723-6012 | 2010-10-13 |
| 1124274394 | Robert Stephen Ellis | Dentist | 1434 - Parker Drive, Laurel, MS 39440-1942 | 2008-08-07 |
| Find all providers in LAUREL | ||||
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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.