Nam Eun Kil in Snellville - Pediatric Dentistry

Nam Eun Kil - NPI 1912944562

Nam Eun Kil is a Pediatric Dentistry in Snellville, Georgia. Nam Eun Kil practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Nam Eun Kil is 1912944562. The last update date is 2013-04-16.

Nam Eun Kil's current location address is 1905 Scenic Hwy N Ste 510, Snellville, Georgia. You can contact this provider via phone number 7709796400 and fax number 7709797465. The mailing address for Nam Eun Kil is 1905 Scenic Hwy N Ste 510, Snellville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Nam Eun Kil
Address 1905 Scenic Hwy N Ste 510, Snellville, Georgia
Phone Number 7709796400
Fax Number 7709797465
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1912944562
Provider Enumeration Date 2006-06-01
Last Updated Date 2013-04-16

Provider Mailing Address Detail

Address 1905 Scenic Hwy N Ste 510
City Snellville
State Georgia (GA)
Post Code 300785635
Phone Number 7709796400
Fax Number 7709797465

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DN012519
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000949616C GA --
000949616B GA --

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FAQs about Nam Eun Kil

What is the unique 10-digit identifier code issued to Nam Eun Kil by the Centers for Medicare & Medicaid Services?

The Nam Eun Kil has been assigned the NPI (National Provider Identifier) 1912944562 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 Nam Eun Kil's facilities are situated?

The facilities of Nam Eun Kil are physically located at the following address: 1905 Scenic Hwy N Ste 510, Snellville, GA, 300785635.

What is Nam Eun Kil's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nam Eun Kil is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912944562 to Nam Eun Kil?

The Centers for Medicare & Medicaid Services assigned the 1912944562 to Nam Eun Kil on 2006-06-01.

When was the information pertaining to Nam Eun Kil most recently updated or revised?

The details related to Nam Eun Kil, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-16.

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