Andrew D Kim in Newark - Oral And Maxillofacial Surgery
Andrew D Kim - NPI 1578517801
Andrew D Kim is a Oral And Maxillofacial Surgery in Newark, New Jersey. Andrew D Kim practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Andrew D Kim is 1578517801. The last update date is 2010-09-23.
Andrew D Kim's current location address is 573 Martin Luther King Jr Blvd, Newark, New Jersey. You can contact this provider via phone number 9736216678. The mailing address for Andrew D Kim is 573 Martin Luther King Jr Blvd, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew D Kim |
|---|---|
| Address | 573 Martin Luther King Jr Blvd, Newark, New Jersey |
| Phone Number | 9736216678 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1578517801 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2010-09-23 |
Provider Mailing Address Detail
| Address | 573 Martin Luther King Jr Blvd |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71021215 |
| Phone Number | 9736216678 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 20618 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8049301 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Andrew D Kim by the Centers for Medicare & Medicaid Services?
The Andrew D Kim has been assigned the NPI (National Provider Identifier) 1578517801 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Andrew D Kim is located?
The Andrew D Kim is situated at the following address: 573 Martin Luther King Jr Blvd, Newark, NJ, 71021215.
What is the Andrew D Kim's area of specialization and corresponding taxonomy classification?
The Andrew D Kim's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578517801 to Andrew D Kim?
The Centers for Medicare & Medicaid Services originally issued the 1578517801 to Andrew D Kim on 2006-05-20.
As of what date were the details related to Andrew D Kim most recently updated or revised?
The information pertaining to Andrew D Kim, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-23.
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