Jae Gwon Kim is a Dentist in Las Vegas, Nevada. Jae Gwon Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jae Gwon Kim is 1083832273. The last update date is 2007-07-08.
Jae Gwon Kim's current location address is 777 N. Rainbow Blvd., Las Vegas, Nevada. You can contact this provider via phone number 7029392875. The mailing address for Jae Gwon Kim is 777 N. Rainbow Blvd., Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Gwon Kim |
|---|---|
| Address | 777 N. Rainbow Blvd., Las Vegas, Nevada |
| Phone Number | 7029392875 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1083832273 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 777 N. Rainbow Blvd. |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 89107 |
| Phone Number | 7029392875 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3356 |
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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 identifier code issued to Jae Gwon Kim by the Centers for Medicare & Medicaid Services (CMS)?
The Jae Gwon Kim has been assigned the NPI (National Provider Identifier) 1083832273. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jae Gwon Kim's facilities are situated?
The facilities of Jae Gwon Kim are physically located at the following address: 777 N. Rainbow Blvd., Las Vegas, NV, 89107.
What is Jae Gwon Kim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jae Gwon Kim's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did the Jae Gwon Kim receive its 1083832273?
The Jae Gwon Kim was issued its 1083832273 on 2007-04-23, which is the date when the organization was assigned this unique identifier.
When was the Jae Gwon Kim's information last updated?
The Jae Gwon Kim's information was last updated on 2007-07-08.