Jason Kim is a General Practice in Atlanta, Georgia. Jason Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Kim is 1396962700. The last update date is 2007-07-08.
Jason Kim's current location address is 1720 Old Spring House Ln, Atlanta, Georgia. You can contact this provider via phone number 7704517041 and fax number 7704514886. The mailing address for Jason Kim is 1720 Old Spring House Ln, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Kim |
|---|---|
| Address | 1720 Old Spring House Ln, Atlanta, Georgia |
| Phone Number | 7704517041 |
| Fax Number | 7704514886 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1396962700 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1720 Old Spring House Ln |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303386215 |
| Phone Number | 7704517041 |
| Fax Number | 7704514886 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13467 |
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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 10-digit identifier code issued to Jason Kim by the Centers for Medicare & Medicaid Services?
The Jason Kim has been assigned the NPI (National Provider Identifier) 1396962700 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jason Kim's facilities are situated?
The facilities of Jason Kim are physically located at the following address: 1720 Old Spring House Ln, Atlanta, GA, 303386215.
What is Jason Kim's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason Kim is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Jason Kim receive the assignment of its 1396962700 from the Centers for Medicare & Medicaid Services?
The Jason Kim was issued its 1396962700 by the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date were the details related to Jason Kim most recently updated or revised?
The information pertaining to Jason Kim, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.