Dongsoo David Kim in Shreveport - Oral And Maxillofacial Surgery
Dongsoo David Kim - NPI 1821016957
Dongsoo David Kim is a Oral And Maxillofacial Surgery in Shreveport, Louisiana. Dongsoo David Kim practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Dongsoo David Kim is 1821016957. The last update date is 2021-08-25.
Dongsoo David Kim's current location address is 1501 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3188132625 and fax number 3188132627. The mailing address for Dongsoo David Kim is 1501 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dongsoo David Kim |
|---|---|
| Address | 1501 Kings Hwy, Shreveport, Louisiana |
| Phone Number | 3188132625 |
| Fax Number | 3188132627 |
| Sole Proprietor | N |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1821016957 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2021-08-25 |
Provider Mailing Address Detail
| Address | 1501 Kings Hwy |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034228 |
| Phone Number | 3188132625 |
| Fax Number | 3188132627 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 5542 |
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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 |
|---|---|---|---|
| 1855421 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Dongsoo David Kim by the Centers for Medicare & Medicaid Services?
The Dongsoo David Kim has been issued the NPI (National Provider Identifier) 1821016957. This 10-digit code 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 Dongsoo David Kim is geographically located?
The Dongsoo David Kim is physically situated at the following location: 1501 Kings Hwy, Shreveport, LA, 711034228.
What is Dongsoo David Kim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dongsoo David Kim is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date was the 1821016957 assigned to Dongsoo David Kim?
The Dongsoo David Kim was issued its 1821016957 on 2006-07-17, 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 Dongsoo David Kim's details last updated?
The information pertaining to the Dongsoo David Kim, including its address, specialty, and other details, was most recently updated on 2021-08-25.