Dong Won Kim is a Dentist in Lowell, Massachusetts. Dong Won Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dong Won Kim is 1679694293. The last update date is 2023-01-26.
Dong Won Kim's current location address is 133 Market St, Lowell, Massachusetts. You can contact this provider via phone number 9784581179 and fax number 9788051415. The mailing address for Dong Won Kim is 133 Market St, Lowell, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dong Won Kim |
|---|---|
| Address | 133 Market St, Lowell, Massachusetts |
| Phone Number | 9784581179 |
| Fax Number | 9788051415 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1679694293 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2023-01-26 |
Provider Mailing Address Detail
| Address | 133 Market St |
|---|---|
| City | Lowell |
| State | Massachusetts (MA) |
| Post Code | 18521808 |
| Phone Number | 9784581179 |
| Fax Number | 9788051415 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 21536 |
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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 |
|---|---|---|---|
| 207110 | MA | -- |
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What is the unique 10-digit identifier code issued to Dong Won Kim by the Centers for Medicare & Medicaid Services?
The Dong Won Kim has been assigned the NPI (National Provider Identifier) 1679694293 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Dong Won Kim located?
The Dong Won Kim is located at 133 Market St, Lowell, MA 18521808.
What is the Dong Won Kim's area of specialization and corresponding taxonomy classification?
The Dong Won Kim's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1679694293 assigned to Dong Won Kim?
The Dong Won Kim was issued its 1679694293 on 2007-04-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Dong Won Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dong Won Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-01-26.
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