Yung Kyun Kim in Oakland Gardens - Periodontics

Yung Kyun Kim - NPI 1831394352

Yung Kyun Kim is a Periodontics in Oakland Gardens, New York. Yung Kyun Kim practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Yung Kyun Kim is 1831394352. The last update date is 2013-01-24.

Yung Kyun Kim's current location address is 6470 Cloverdale Blvd, Oakland Gardens, New York. You can contact this provider via phone number 9173759593. The mailing address for Yung Kyun Kim is 6470 Cloverdale Blvd, Oakland Gardens, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Yung Kyun Kim
Address 6470 Cloverdale Blvd, Oakland Gardens, New York
Phone Number 9173759593
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1831394352
Provider Enumeration Date 2007-06-15
Last Updated Date 2013-01-24

Provider Mailing Address Detail

Address 6470 Cloverdale Blvd
City Oakland Gardens
State New York (NY)
Post Code 113642721
Phone Number 9173759593
Fax Number

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 10754
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10754 CT DENTAL LICENSE
053348-1 NY LICENSE

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FAQs about Yung Kyun Kim

What is the unique 10-digit identification code assigned to Yung Kyun Kim by the Centers for Medicare & Medicaid Services?

The Yung Kyun Kim has been issued the NPI (National Provider Identifier) 1831394352, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Yung Kyun Kim is physically located?

The Yung Kyun Kim is physically situated at the following address: 6470 Cloverdale Blvd, Oakland Gardens, NY, 113642721.

What is the Yung Kyun Kim's specialty and taxonomy code?

The Yung Kyun Kim's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1831394352 to Yung Kyun Kim?

The Yung Kyun Kim received its 1831394352 assignment from the Centers for Medicare & Medicaid Services on 2007-06-15.

When was the information regarding Yung Kyun Kim, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Yung Kyun Kim, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-24.

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