KWON YANG (NPI# 1801387501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801387501 |
| Entity Type | Individual |
| Full Name | KWON YANG |
| Credential | DDS |
| Practice Address |
W 9071 Forest Drive Plymouth WI 53073 |
| Mailing Address |
12 Overlook Dr Apt 8107 Fond Du Lac WI 54937-2317 |
| Practice Telephone | 9205263244 |
| Mailing Telephone | 4438250255 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1001872-15 | WI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2115 E Evergreen Dr, Appleton, WI 54913 | 9207342345 |
| Street Address |
W 9071 FOREST DRIVE |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| 1740489509 | Tammy Marie Thill | Social Worker | 1111 Reed Street, Plymouth, WI 53073 | 2007-07-12 |
| Find all providers in zip 53073 | ||||
| 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 |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1043720675 | Taylor Dental Associates PC | Dentist | 106 Colony Place Rd, Plymouth, MA 02360-7233 | 2017-10-10 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| 1831565969 | Annelise Nelson | Dentist | 15535 34th Ave N Ste 250, Plymouth, MN 55447-2171 | 2015-08-12 |
| 1467870303 | Paul Boettner Dds Pllc | Dentist | 1485 County Road 101 N, Plymouth, MN 55447-3053 | 2014-03-28 |
| 1083037931 | Nicole Haus | Dentist | 3001 Harbor Ln N Ste 100, Plymouth, MN 55447-8740 | 2014-01-29 |
| 1669743738 | W H Dental, Pllc | Dentist | 17610 19th Ave N, Suite 8, Plymouth, MN 55447-2600 | 2012-01-22 |
| 1700100088 | Advanced Family Dentistry, PC | Dentist | 44644 Ann Arbor Rd W, Suite F, Plymouth, MI 48170-4093 | 2010-03-16 |
| Find all providers in PLYMOUTH | ||||
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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.