Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073916789 Individual Practitioner Male Practitioner

Dr. Peter Yoon , DDS

Dentist • Fort Eisenhower, GA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Yoon, DDS is a registered healthcare professional specializing in Dentist in Fort Eisenhower, GA. Practice services are available at 300 E HOSPITAL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 E Hospital Rd

Fort Eisenhower, GA 30905

Telephone 7067872516

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Eisenhower, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Fort Eisenhower, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 100212

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019.030065

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1023403045

Doctor of Medicine (M.D.)

Dr. Christopher Jones , MD

Emergency Medicine

NPI 1164734851

Doctor of Medicine (M.D.)

Amanda Eley , APRN, MSN, FNP-C

Nurse Practitioner - Family

NPI 1174415087

Advanced Practice Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Certified)

Dr. Spencer Schulte , MD

Orthopaedic Surgery

NPI 1326492323

Doctor of Medicine (M.D.)

NPI 1376163048

Doctor of Medicine (M.D.)

Dr. Joseph Kerr , MD

Internal Medicine

NPI 1619320397

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location March 13, 2024

Registered at 300 E HOSPITAL RD, FORT EISENHOWER, GA 30905 (Tel: 7067872516)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2024

Dentist (License #019.030065 in IL)

📍
Updated Practice Location June 24, 2019

Registered at USAG HUMPHREYS, 618TH DENTAL CO, CARIUS DENTAL CLINIC, UNIT 15660 BLDG P3020, APO, AP 962715660 (Tel: 2145876505)

📍
Updated Business Mailing Address June 24, 2019

Registered at 4301 BOCA RATON DR, THE COLONY, TX 750564046 (Tel: 2145876505)

NPI Profile Active February 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2017

Registered at 23082 RIDGE DR RTE A, LAKE FOREST, CA 92630 (Tel: 9498372766)

📍
Updated Business Mailing Address February 20, 2017

Registered at 23082 RIDGE RTE DR A, LAKE FOREST, CA 92630 (Tel: 9498372766)

👤
Provider Name / Credentials Updated February 20, 2017

Recorded as PETER YOON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2017

Dentist (License #100212 in CA)

📍
Updated Practice Location February 02, 2017

Registered at 23082 RIDGE DR RTE A, LAKE FOREST, CA 92630 (Tel: 9498372766)

📍
Updated Business Mailing Address February 02, 2017

Registered at 23082 RIDGE RTE DR A, LAKE FOREST, CA 92630 (Tel: 9498372766)

NPI Profile Active October 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2014

Registered at 1102 4TH AVE, MOLINE, IL 612651231 (Tel: 8889884066)

📍
Updated Business Mailing Address October 08, 2014

Registered at 2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 601734166 (Tel: 8889884066)

👤
Provider Name / Credentials Updated October 08, 2014

Recorded as PETER YOON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2014

Dentist (License #019.030065 in IL)

🟢
Initial NPI Registration & Enumeration October 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073916789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2014
Last Update: March 13, 2024
Sole Proprietor: Yes

Mailing Address

4301 Boca Raton Dr

The Colony, TX 750564046

Phone: 2145876505

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.