Jeong Doo Kim in Riverside - Oral And Maxillofacial Surgery
Jeong Doo Kim - NPI 1578778825
Jeong Doo Kim is a Oral And Maxillofacial Surgery in Riverside, California. Jeong Doo Kim practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jeong Doo Kim is 1578778825. The last update date is 2012-10-18.
Jeong Doo Kim's current location address is 4000 Tyler St Ste A, Riverside, California. You can contact this provider via phone number 9516874460 and fax number 9516877448. The mailing address for Jeong Doo Kim is 4000 Tyler St Ste A, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeong Doo Kim |
|---|---|
| Address | 4000 Tyler St Ste A, Riverside, California |
| Phone Number | 9516874460 |
| Fax Number | 9516877448 |
| Sole Proprietor | N |
| Credentials | M.D, D.D.S |
NPI Number Detail
| NPI Number | 1578778825 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2012-10-18 |
Provider Mailing Address Detail
| Address | 4000 Tyler St Ste A |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925033458 |
| Phone Number | 9516874460 |
| Fax Number | 9516877448 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 50622 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeong Doo Kim by the Centers for Medicare & Medicaid Services?
The Jeong Doo Kim has been issued the NPI (National Provider Identifier) 1578778825, 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 address where Jeong Doo Kim is geographically located?
The Jeong Doo Kim is physically situated at the following location: 4000 Tyler St Ste A, Riverside, CA, 925033458.
What is Jeong Doo Kim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeong Doo Kim is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578778825 to Jeong Doo Kim?
The Centers for Medicare & Medicaid Services assigned the 1578778825 to Jeong Doo Kim on 2007-05-11.
As of what date were the Jeong Doo Kim's details last updated?
The information pertaining to the Jeong Doo Kim, including its address, specialty, and other details, was most recently updated on 2012-10-18.
NPI Number: 1447253067
Address: 2115 N Kansas Ave Ste 105, Hastings, NE
NPI Number: 1306849773
Address: 3200 Ponce De Leon Blvd, Coral Gables, FL
NPI Number: 1053315846
Address: 1455 E Bert Kouns Loop, Shreveport, LA
NPI Number: 1164426896
Address: 600 Grant Street, Us Steel Tower, 59th Floor, Pittsburgh, PA