Su K Jin is a Dentist in Bayside, New York. Su K Jin practices all healthcare services and medical treatments related to Dentist. The NPI Number for Su K Jin is 1588643696. The last update date is 2013-01-24.
Su K Jin's current location address is 20927 35th Ave, Bayside, New York. You can contact this provider via phone number 9176503735. The mailing address for Su K Jin is 20927 35th Ave, Bayside, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Su K Jin |
|---|---|
| Address | 20927 35th Ave, Bayside, New York |
| Phone Number | 9176503735 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1588643696 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2013-01-24 |
Provider Mailing Address Detail
| Address | 20927 35th Ave |
|---|---|
| City | Bayside |
| State | New York (NY) |
| Post Code | 113611451 |
| Phone Number | 9176503735 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 48441 |
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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 |
|---|---|---|---|
| 2254259 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Su K Jin by the Centers for Medicare & Medicaid Services (CMS)?
The Su K Jin has been assigned the NPI (National Provider Identifier) 1588643696. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Su K Jin is physically located?
The Su K Jin is situated at the following address: 20927 35Th Ave, Bayside, NY 113611451.
What is the area of specialization for Su K Jin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Su K Jin is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date was the 1588643696 assigned to Su K Jin?
The Su K Jin was issued its 1588643696 on 2006-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Su K Jin most recently updated?
The details pertaining to the Su K Jin, including its address, specialty, and other relevant information, were last refreshed on 2013-01-24.