Seok Yong Kim is a Periodontics in Allston, Massachusetts. Seok Yong Kim practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Seok Yong Kim is 1588825186. The last update date is 2008-06-17.
Seok Yong Kim's current location address is 61 Brighton Ave, Allston, Massachusetts. You can contact this provider via phone number 6179904321. The mailing address for Seok Yong Kim is 61 Brighton Ave, Allston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Seok Yong Kim |
|---|---|
| Address | 61 Brighton Ave, Allston, Massachusetts |
| Phone Number | 6179904321 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588825186 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 61 Brighton Ave |
|---|---|
| City | Allston |
| State | Massachusetts (MA) |
| Post Code | 21342116 |
| Phone Number | 6179904321 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | BB1832268-PS |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Seok Yong Kim by the Centers for Medicare & Medicaid Services?
The Seok Yong Kim has been issued the NPI (National Provider Identifier) 1588825186 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Seok Yong Kim?
The Seok Yong Kim is situated at 61 Brighton Ave, in the city of Allston, state of MA, with the zip code 21342116.
What is the area of specialization for Seok Yong Kim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Seok Yong Kim is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date was the 1588825186 assigned to Seok Yong Kim?
The Seok Yong Kim was issued its 1588825186 on 2008-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Seok Yong Kim last refreshed?
The information related to the Seok Yong Kim, including its address, specialty, and other relevant details, was last updated on 2008-06-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY