Ben Bum-Joon Kang in Tualatin - Pediatric Dentistry
Ben Bum-Joon Kang - NPI 1922045574
Ben Bum-Joon Kang is a Pediatric Dentistry in Tualatin, Oregon. Ben Bum-Joon Kang practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Ben Bum-Joon Kang is 1922045574. The last update date is 2010-03-25.
Ben Bum-Joon Kang's current location address is 19255 Sw 65th Ave, Tualatin, Oregon. You can contact this provider via phone number 5036121897. The mailing address for Ben Bum-Joon Kang is 19255 Sw 65th Ave, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ben Bum-Joon Kang |
|---|---|
| Address | 19255 Sw 65th Ave, Tualatin, Oregon |
| Phone Number | 5036121897 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1922045574 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2010-03-25 |
Provider Mailing Address Detail
| Address | 19255 Sw 65th Ave |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970627451 |
| Phone Number | 5036121897 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D8271 |
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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. |
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What is the unique identifier code issued to Ben Bum-Joon Kang by the Centers for Medicare & Medicaid Services (CMS)?
The Ben Bum-Joon Kang has been assigned the NPI (National Provider Identifier) 1922045574. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Ben Bum-Joon Kang located?
The Ben Bum-Joon Kang is located at 19255 Sw 65Th Ave, Tualatin, OR 970627451.
What is the Ben Bum-Joon Kang's specialty and taxonomy code?
The Ben Bum-Joon Kang's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When did Ben Bum-Joon Kang receive its 1922045574 assignment?
The Ben Bum-Joon Kang was assigned its 1922045574 on 2006-06-01, which is the date when this unique identifier was issued to the organization.
When was the information related to Ben Bum-Joon Kang most recently updated or refreshed?
The details pertaining to the Ben Bum-Joon Kang, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-03-25.