Bongmin An is a Dentist in Las Cruces, New Mexico. Bongmin An practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bongmin An is 1497960561. The last update date is 2022-07-19.
Bongmin An's current location address is 1748 S Triviz Dr, Las Cruces, New Mexico. You can contact this provider via phone number 5755221983 and fax number 5755223435. The mailing address for Bongmin An is 1748 S Triviz Dr, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bongmin An |
|---|---|
| Address | 1748 S Triviz Dr, Las Cruces, New Mexico |
| Phone Number | 5755221983 |
| Fax Number | 5755223435 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1497960561 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2022-07-19 |
Provider Mailing Address Detail
| Address | 1748 S Triviz Dr |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880015103 |
| Phone Number | 5755221983 |
| Fax Number | 5755223435 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DD5580 |
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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 Bongmin An by the Centers for Medicare & Medicaid Services?
The Bongmin An has been assigned the NPI (National Provider Identifier) 1497960561. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bongmin An is physically located?
The Bongmin An is physically situated at the following address: 1748 S Triviz Dr, Las Cruces, NM, 880015103.
What is Bongmin An's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bongmin An'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 originally issue the 1497960561 to Bongmin An?
The Centers for Medicare & Medicaid Services originally issued the 1497960561 to Bongmin An on 2007-05-11.
When was the information regarding Bongmin An most recently updated?
The details pertaining to the Bongmin An, including its address, specialty, and other relevant information, were last refreshed on 2022-07-19.
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