Jeong E. Kim is a Dentist in West Covina, California. Jeong E. Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeong E. Kim is 1144439720. The last update date is 2008-02-27.
Jeong E. Kim's current location address is 450 S Glendora Ave, West Covina, California. You can contact this provider via phone number 6268563317. The mailing address for Jeong E. Kim is 450 S Glendora Ave, West Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeong E. Kim |
|---|---|
| Address | 450 S Glendora Ave, West Covina, California |
| Phone Number | 6268563317 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1144439720 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 450 S Glendora Ave |
|---|---|
| City | West Covina |
| State | California (CA) |
| Post Code | 917903066 |
| Phone Number | 6268563317 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D54452 |
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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 |
|---|---|---|---|
| D54452 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeong E. Kim by the Centers for Medicare & Medicaid Services?
The Jeong E. Kim has been assigned the NPI (National Provider Identifier) 1144439720 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeong E. Kim is physically located?
The Jeong E. Kim is physically situated at the following address: 450 S Glendora Ave, West Covina, CA, 917903066.
What is the Jeong E. Kim's specialty and taxonomy code?
The Jeong E. Kim's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144439720 to Jeong E. Kim?
The Centers for Medicare & Medicaid Services assigned the 1144439720 to Jeong E. Kim on 2007-05-21.
As of what date were the Jeong E. Kim's details last updated?
The information pertaining to the Jeong E. Kim, including its address, specialty, and other details, was most recently updated on 2008-02-27.