Roy D Shim is a Dentist in Glendale, Arizona. Roy D Shim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Roy D Shim is 1245354695. The last update date is 2023-01-26.
Roy D Shim's current location address is 8507 N 51st Ave, Glendale, Arizona. You can contact this provider via phone number 6029730325 and fax number 4804547111. The mailing address for Roy D Shim is 8507 N 51st Ave, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roy D Shim |
|---|---|
| Address | 8507 N 51st Ave, Glendale, Arizona |
| Phone Number | 6029730325 |
| Fax Number | 4804547111 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1245354695 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2023-01-26 |
Provider Mailing Address Detail
| Address | 8507 N 51st Ave |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853024919 |
| Phone Number | 6029730325 |
| Fax Number | 4804547111 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D7163 |
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Definition: 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: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 228117 | AZ | -- |
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What is the unique identifier code issued to Roy D Shim by the Centers for Medicare & Medicaid Services?
The Roy D Shim has been assigned the NPI (National Provider Identifier) 1245354695. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Roy D Shim is physically located?
The Roy D Shim is physically situated at the following address: 8507 N 51St Ave, Glendale, AZ, 853024919.
What is the Roy D Shim's area of specialization and corresponding taxonomy classification?
The Roy D Shim's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did Roy D Shim receive its 1245354695 assignment?
The Roy D Shim was assigned its 1245354695 on 2007-03-19, which is the date when this unique identifier was issued to the organization.
As of what date were the Roy D Shim's details last updated?
The information pertaining to the Roy D Shim, including its address, specialty, and other details, was most recently updated on 2023-01-26.
NPI Number: 1932102142
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