Misook Kim is a Dentist in Salem, Oregon. Misook Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Misook Kim is 1063444040. The last update date is 2007-07-08.
Misook Kim's current location address is 3750 Chemawa Rd Ne, Salem, Oregon. You can contact this provider via phone number 5033047631 and fax number 5033047677. The mailing address for Misook Kim is 3750 Chemawa Rd Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misook Kim |
|---|---|
| Address | 3750 Chemawa Rd Ne, Salem, Oregon |
| Phone Number | 5033047631 |
| Fax Number | 5033047677 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1063444040 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3750 Chemawa Rd Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973051111 |
| Phone Number | 5033047631 |
| Fax Number | 5033047677 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D6841 |
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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 |
|---|---|---|---|
| 278159 | OR | -- |
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What is the unique identifier code issued to Misook Kim by the Centers for Medicare & Medicaid Services?
The Misook Kim has been assigned the NPI (National Provider Identifier) 1063444040. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Misook Kim located?
The Misook Kim is located at 3750 Chemawa Rd Ne, Salem, OR 973051111.
What is Misook Kim's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Misook Kim is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Misook Kim receive its 1063444040 assignment from the Centers for Medicare & Medicaid Services?
The Misook Kim was assigned its 1063444040 by the Centers for Medicare & Medicaid Services on 2006-07-07.
When was the information pertaining to Misook Kim most recently updated or revised?
The details related to Misook Kim, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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