Susan J Kim is a General Practice in Allen, Texas. Susan J Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Susan J Kim is 1447349733. The last update date is 2007-07-08.
Susan J Kim's current location address is 1212 W Mcdermott Dr, Allen, Texas. You can contact this provider via phone number 9723591300 and fax number 9723591480. The mailing address for Susan J Kim is 1212 W Mcdermott Dr, Allen, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan J Kim |
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Address | 1212 W Mcdermott Dr, Allen, Texas |
Phone Number | 9723591300 |
Fax Number | 9723591480 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1447349733 |
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Provider Enumeration Date | 2006-10-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1212 W Mcdermott Dr |
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City | Allen |
State | Texas (TX) |
Post Code | 750136387 |
Phone Number | 9723591300 |
Fax Number | 9723591480 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 20132 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
20132 | TX | TX STATE DENTAL LICENSE | |
7706223384 | FEDERAL TAX ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan J Kim by the Centers for Medicare & Medicaid Services?
The Susan J Kim has been issued the NPI (National Provider Identifier) 1447349733, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan J Kim's facilities are situated?
The facilities of Susan J Kim are physically located at the following address: 1212 W Mcdermott Dr, Allen, TX, 750136387.
What is Susan J Kim's area of expertise and its corresponding taxonomy classification?
The Susan J Kim'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 issue the 1447349733 to Susan J Kim?
The Susan J Kim received its 1447349733 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date were the details related to Susan J Kim most recently updated or revised?
The information pertaining to Susan J Kim, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.