Family Dentistry of Ephrata

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FAMILY DENTISTRY OF EPHRATA

Practice address

1065 Sharp Ave
Ephrata, PA 17522-1135

Phone

(717) 738-0124

Fax

(717) 721-1043

NPI assigned

Mar 18, 2020

Last updated

Mar 18, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yooson E Kim, DMD

Title

Owner

Phone

(717) 738-0124

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adela Kang

  • General Practice Dentistry
  • Ephrata, PA
  • NPI 1750139499
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1497381842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 SHARP AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221135",
            "telephone_number": "717-738-0124",
            "fax_number": "717-721-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SHARP AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221135",
            "telephone_number": "717-738-0124",
            "fax_number": "717-721-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF EPHRATA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOOSON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-738-0124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1023088408",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ephrata Regional Radiation Oncology PC
• Beth Irene Esterbrook, M.D.
• Charles Milton Evans, M.D.
• Eye Associates of Lancaster LTD
• Fairmount Homes
• Family Dentistry, LTD
• Family Eye Group, P.C.
• Family Tree Chiropractic, LLC
• Mandy R Fannin, M.D.
• Susan Bridget Favorite, CRNA

• Dental Clinic/Center in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.