John Kim is a Dentist in Loves Park, Illinois. John Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Kim is 1316111248. The last update date is 2008-04-22.
John Kim's current location address is 438 Theodore St, Loves Park, Illinois. You can contact this provider via phone number 8156337933. The mailing address for John Kim is 438 Theodore St, Loves Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Kim |
|---|---|
| Address | 438 Theodore St, Loves Park, Illinois |
| Phone Number | 8156337933 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316111248 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 438 Theodore St |
|---|---|
| City | Loves Park |
| State | Illinois (IL) |
| Post Code | 611114056 |
| Phone Number | 8156337933 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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What is the unique 10-digit identifier code assigned to John Kim by the Centers for Medicare & Medicaid Services?
The John Kim has been issued the NPI (National Provider Identifier) 1316111248 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where John Kim is physically located?
The John Kim is situated at the following address: 438 Theodore St, Loves Park, IL 611114056.
What is John Kim's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Kim's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316111248 to John Kim?
The Centers for Medicare & Medicaid Services assigned the 1316111248 to John Kim on 2008-04-22.
When was the information regarding John Kim most recently updated?
The details pertaining to the John Kim, including its address, specialty, and other relevant information, were last refreshed on 2008-04-22.
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