DR. JOELLE PROSE (NPI# 1922474519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922474519 |
| Entity Type | Individual |
| Full Name | DR. JOELLE PROSE |
| Credential | D.D.S. |
| Practice Address |
618th Dental Company Unit # 15660, Bldg # P3020 Apo AP 96271-5660 |
| Mailing Address |
600 Caisson Hill Rd U.S. Army Dental Activity Ft Riley KS 66442-7037 |
| Practice Telephone | 0500503337 |
| Mailing Telephone | 7852397241 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 61523 | KS | Dental Providers |
| N | 122300000X | Dentist | 2901021571 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | INSURANCE | 1922474519 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5754 Antioch Rd, Merriam, KS 662022015 | 9136717066 | |
| 7501 Mission Rd Ste 102, Prairie Village, KS 662084217 | 9136015016 |
| Street Address |
618TH DENTAL COMPANY UNIT # 15660, BLDG # P3020 |
| City | APO |
| State | AP |
| Zip Code | 96271-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982659900 | Youngmi Cho | Dentist | 618th Dental Company, Unit #15659, Apo, AP 96218-0659 | 2006-05-24 |
| 1245672625 | In Ho Kwon | Dentist | 618th Dental Company, Usa Dentac Korea Unit 15652, Apo, AP 96205-5652 | 2013-07-25 |
| 1326284951 | Johanna Hyunkyung Sohn | Dentist | 618th Dental Company, Unit 15660, Bldg 555, Apo, AP 96271-5660 | 2009-01-03 |
| 1790935435 | Joohee Lee | Dental Hygienist | 618th Dental Company, Unit #15652, Apo, AP 96205-5652 | 2008-09-30 |
| 1578764718 | Flora Manhan Chan | Dentist | 618th Dental Company, Unit 15659, Box 846, Apo, AP 96218 | 2007-05-29 |
| 1447470588 | Hyung Ki Yoon | Dentist | 618th Dental Company, Unit 15658, Apo, AP 96224 | 2007-04-30 |
| 1871506188 | Leslie Anne Oakes | Dentist | 618th Dental Company, Unit #15652, Apo, AP 96205-5652 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124686472 | Oscar Christian | Military Health Care Provider | Hospital: Wh3s9a 549 Hc/baach, Unit 15245, Apo, AP 96271 | 2019-06-02 |
| 1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
| 1003375924 | Kevin Scott Floyd | Physician Assistant | Camp Humphrey's, Apo, AP 96271 | 2019-03-19 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
| 1932687340 | Jennifer Marie Sisson | Military Health Care Provider | 4-2 Arb, Apo, AP 96271 | 2018-07-30 |
| 1356852818 | Allison G White | Optometrist | Bdaach/549th Hospital Center Usag Humphreys Bldg.# 3030, Apo, AP 96271 | 2017-10-23 |
| 1871014902 | Charlie Kim | Dentist | Camp Humphreys, Carius Dental Clinic Bldg 3020, Apo, AP 96271 | 2017-06-28 |
| 1093245656 | Cindy Rosemarie Bowers | Social Worker | Bldg 370 Camp Humphreys, Wh3s9a 549 Hc/baach Unit 15245, Apo, AP 96271 | 2017-06-15 |
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1952836678 | David J Ahn | Student in an Organized Health Care Education/Training Program | Unit 15190 Box Pyongtaek, Apo, AP 96271 | 2017-05-01 |
| Find all providers in zip 96271 | ||||
| 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 |
|---|---|---|---|---|
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1891311379 | Jonathan Frederick Weaver | Dentist | Headquarters United States Army Dental Health Activity, 4323 Hill Street, Apo, AA 29207-6022 | 2020-06-22 |
| 1457975583 | Connor English | Dentist | Carius Dental Clinic Bldg#p3020, Apo, AP 96205-5244 | 2020-06-04 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1972082451 | Mark Rutledge Mcshane | Dentist | 618th Dental Company (as), Usa Dentac-korea Unit #15660 Bldg # P 3020, Apo, AP 96271-5660 | 2018-08-07 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
| Find all providers in APO | ||||
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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.