Jin Koo Kim is a General Practice in Sudbury, Massachusetts. Jin Koo Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jin Koo Kim is 1306002480. The last update date is 2016-09-20.
Jin Koo Kim's current location address is 19 Demarco Rd, Sudbury, Massachusetts. You can contact this provider via phone number 3392213692. The mailing address for Jin Koo Kim is 19 Demarco Rd, Sudbury, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jin Koo Kim |
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Address | 19 Demarco Rd, Sudbury, Massachusetts |
Phone Number | 3392213692 |
Fax Number | |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1306002480 |
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Provider Enumeration Date | 2008-07-29 |
Last Updated Date | 2016-09-20 |
Provider Mailing Address Detail
Address | 19 Demarco Rd |
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City | Sudbury |
State | Massachusetts (MA) |
Post Code | 17762019 |
Phone Number | 3392213692 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 22255 |
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 provider identifier assigned to Jin Koo Kim?
The Jin Koo Kim has been issued the NPI (National Provider Identifier) 1306002480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jin Koo Kim is located?
The Jin Koo Kim is situated at the following address: 19 Demarco Rd, Sudbury, MA, 17762019.
What is the Jin Koo Kim's specialty and taxonomy code?
The Jin Koo Kim's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306002480 to Jin Koo Kim?
The Jin Koo Kim received its 1306002480 assignment from the Centers for Medicare & Medicaid Services on 2008-07-29.
As of what date were the details related to Jin Koo Kim most recently updated or revised?
The information pertaining to Jin Koo Kim, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-20.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC