Jekyong Jay Kim is a Periodontics in Milpitas, California. Jekyong Jay Kim practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jekyong Jay Kim is 1225242084. The last update date is 2015-12-15.
Jekyong Jay Kim's current location address is 100 Calypso Ln, Milpitas, California. You can contact this provider via phone number 4088868590. The mailing address for Jekyong Jay Kim is 100 Calypso Ln, Milpitas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jekyong Jay Kim |
|---|---|
| Address | 100 Calypso Ln, Milpitas, California |
| Phone Number | 4088868590 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1225242084 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2015-12-15 |
Provider Mailing Address Detail
| Address | 100 Calypso Ln |
|---|---|
| City | Milpitas |
| State | California (CA) |
| Post Code | 950358925 |
| Phone Number | 4088868590 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 62259 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code assigned to Jekyong Jay Kim by the Centers for Medicare & Medicaid Services?
The Jekyong Jay Kim has been issued the NPI (National Provider Identifier) 1225242084 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jekyong Jay Kim's facilities are situated?
The facilities of Jekyong Jay Kim are physically located at the following address: 100 Calypso Ln, Milpitas, CA, 950358925.
What is Jekyong Jay Kim's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jekyong Jay Kim is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
When did Jekyong Jay Kim receive its 1225242084 assignment?
The Jekyong Jay Kim was assigned its 1225242084 on 2007-05-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jekyong Jay Kim most recently updated or revised?
The information pertaining to Jekyong Jay Kim, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-15.