Jung-Wan Martin Kim in Minneapolis - Dentist

Jung-Wan Martin Kim - NPI 1568624815

Jung-Wan Martin Kim is a Dentist in Minneapolis, Minnesota. Jung-Wan Martin Kim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jung-Wan Martin Kim is 1568624815. The last update date is 2008-06-27.

Jung-Wan Martin Kim's current location address is 515 Delaware Street Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126256177 and fax number 6126262652. The mailing address for Jung-Wan Martin Kim is 515 Delaware Street Se, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jung-Wan Martin Kim
Address 515 Delaware Street Se, Minneapolis, Minnesota
Phone Number 6126256177
Fax Number 6126262652
Sole Proprietor N
Credentials BSC, DMD

NPI Number Detail

NPI Number 1568624815
Provider Enumeration Date 2008-06-27
Last Updated Date 2008-06-27

Provider Mailing Address Detail

Address 515 Delaware Street Se
City Minneapolis
State Minnesota (MN)
Post Code 55455
Phone Number 6126256177
Fax Number 6126262652

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D12492
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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FAQs about Jung-Wan Martin Kim

What is the unique 10-digit identifier code assigned to Jung-Wan Martin Kim by the Centers for Medicare & Medicaid Services?

The Jung-Wan Martin Kim has been issued the NPI (National Provider Identifier) 1568624815 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Jung-Wan Martin Kim's physical address?

The Jung-Wan Martin Kim is physically located at 515 Delaware Street Se, in the city of Minneapolis, MN, with the postal code 55455.

What is Jung-Wan Martin Kim's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jung-Wan Martin Kim is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1568624815 to Jung-Wan Martin Kim?

The Centers for Medicare & Medicaid Services originally issued the 1568624815 to Jung-Wan Martin Kim on 2008-06-27.

As of what date was the information pertaining to Jung-Wan Martin Kim, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jung-Wan Martin Kim, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-27.

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