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Dr. Han Eol Eom , DDS

Dentist - Prosthodontics β€’ Ft Gordon, GA

Active NPI 1649750142 Individual Practitioner Male Practitioner
Practice location in NPPES

Bldg 38801 Academic Dr, Ste B&c, Suite B & C
Ft Gordon, GA 309055660

Call 7067877050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Bldg 38801 Academic Dr, Ste B&c
Suite B & C

Ft Gordon, GA 309055660

Telephone 7067877050
Organization at the Same NPPES Address or Phone
Eisenhower Army Medical Center Facility NPI 1396949657

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ft Gordon and Georgia

9 active clinicians are listed under Dentist - Prosthodontics with a practice address in Ft Gordon, GA (101 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-27
Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

License # reported to NPPES VA 0401416179

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES VA 0401416179

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address June 27, 2023

Registered at CMR 415 BOX 5367, APO, AE 091140054

βœ…
NPI Profile Active August 15, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 15, 2018

Registered at BLDG 38801 ACADEMIC DR, STE B&C, SUITE B & C, FT GORDON, GA 309055660 (Tel: 7067877050)

πŸ“
Business Mailing Address (Initial Record) August 15, 2018

Registered at 1040 ALEXANDER DR APT 2211, AUGUSTA, GA 309090255 (Tel: 9193256933)

πŸ‘€
Provider Name / Credentials (Initial Record) August 15, 2018

Recorded as HAN EOL EOM, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2018

Dentist (license number reported to NPPES: VA 0401416179)

🟒
Initial NPI Registration & Enumeration August 15, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649750142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2018
Last Update: June 27, 2023
Sole Proprietor: No

Mailing Address

Cmr 415 Box 5367

Apo, AE 091140054

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.