Jennifer Kim is a Prosthodontics in Duluth, Georgia. Jennifer Kim practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Jennifer Kim is 1366652737. The last update date is 2018-05-13.
Jennifer Kim's current location address is 3142 Barkley Square Dr, Duluth, Georgia. You can contact this provider via phone number 7708554617. The mailing address for Jennifer Kim is 3142 Barkley Square Dr, Duluth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Kim |
|---|---|
| Address | 3142 Barkley Square Dr, Duluth, Georgia |
| Phone Number | 7708554617 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1366652737 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2018-05-13 |
Provider Mailing Address Detail
| Address | 3142 Barkley Square Dr |
|---|---|
| City | Duluth |
| State | Georgia (GA) |
| Post Code | 300973464 |
| Phone Number | 7708554617 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | DN013329 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003127719A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer Kim?
The Jennifer Kim has been issued the NPI (National Provider Identifier) 1366652737 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jennifer Kim's facilities are situated?
The facilities of Jennifer Kim are physically located at the following address: 3142 Barkley Square Dr, Duluth, GA, 300973464.
What is the Jennifer Kim's specialty and taxonomy code?
The Jennifer Kim's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.
When was the Jennifer Kim's 1366652737 issued?
The Jennifer Kim's 1366652737 was issued on 2007-05-23.
As of what date were the details pertaining to Jennifer Kim last refreshed?
The information related to the Jennifer Kim, including its address, specialty, and other relevant details, was last updated on 2018-05-13.