David Hyungchan Kim in Palisades Park - Dentist
David Hyungchan Kim - NPI 1457418428
David Hyungchan Kim is a Dentist in Palisades Park, New Jersey. David Hyungchan Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for David Hyungchan Kim is 1457418428. The last update date is 2007-07-08.
David Hyungchan Kim's current location address is 306 Broad Ave Ste C D, Palisades Park, New Jersey. You can contact this provider via phone number 2014615171 and fax number 2014616882. The mailing address for David Hyungchan Kim is 306 Broad Ave Ste C D, Palisades Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Hyungchan Kim |
|---|---|
| Address | 306 Broad Ave Ste C D, Palisades Park, New Jersey |
| Phone Number | 2014615171 |
| Fax Number | 2014616882 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457418428 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 306 Broad Ave Ste C D |
|---|---|
| City | Palisades Park |
| State | New Jersey (NJ) |
| Post Code | 76501621 |
| Phone Number | 2014615171 |
| Fax Number | 2014616882 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22DI02152500 |
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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 issued to David Hyungchan Kim by the Centers for Medicare & Medicaid Services?
The David Hyungchan Kim has been assigned the NPI (National Provider Identifier) 1457418428 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the David Hyungchan Kim's physical address?
The David Hyungchan Kim is physically located at 306 Broad Ave Ste C D, in the city of Palisades Park, NJ, with the postal code 76501621.
What is David Hyungchan Kim's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Hyungchan Kim's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457418428 to David Hyungchan Kim?
The Centers for Medicare & Medicaid Services assigned the 1457418428 to David Hyungchan Kim on 2007-01-02.
As of what date were the details related to David Hyungchan Kim most recently updated or revised?
The information pertaining to David Hyungchan Kim, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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