Jin Sang Kwon is a General Practice in Modesto, California. Jin Sang Kwon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jin Sang Kwon is 1053473736. The last update date is 2007-07-08.
Jin Sang Kwon's current location address is 2045 W Briggsmore Ave, Modesto, California. You can contact this provider via phone number 2095273000. The mailing address for Jin Sang Kwon is 2045 W Briggsmore Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jin Sang Kwon |
|---|---|
| Address | 2045 W Briggsmore Ave, Modesto, California |
| Phone Number | 2095273000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053473736 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2045 W Briggsmore Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953503767 |
| Phone Number | 2095273000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 53616 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Jin Sang Kwon by the Centers for Medicare & Medicaid Services?
The Jin Sang Kwon has been assigned the NPI (National Provider Identifier) 1053473736. 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 share the complete physical location address where Jin Sang Kwon's facilities are situated?
The facilities of Jin Sang Kwon are physically located at the following address: 2045 W Briggsmore Ave, Modesto, CA, 953503767.
What is Jin Sang Kwon's area of expertise and its corresponding taxonomy classification?
The Jin Sang Kwon's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053473736 to Jin Sang Kwon?
The Centers for Medicare & Medicaid Services originally issued the 1053473736 to Jin Sang Kwon on 2006-12-15.
As of what date were the details related to Jin Sang Kwon most recently updated or revised?
The information pertaining to Jin Sang Kwon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC