Nellie Kim-Weroha in Rochester - Oral And Maxillofacial Surgery

Nellie Kim-Weroha - NPI 1780706275

Nellie Kim-Weroha is a Oral And Maxillofacial Surgery in Rochester, Minnesota. Nellie Kim-Weroha practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Nellie Kim-Weroha is 1780706275. The last update date is 2023-06-20.

Nellie Kim-Weroha's current location address is 1705 Broadway Ave S, Rochester, Minnesota. You can contact this provider via phone number 5072884427 and fax number 5072888497. The mailing address for Nellie Kim-Weroha is 1705 Broadway Ave S, Rochester, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Nellie Kim-Weroha
Address 1705 Broadway Ave S, Rochester, Minnesota
Phone Number 5072884427
Fax Number 5072888497
Sole Proprietor N
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1780706275
Provider Enumeration Date 2007-04-04
Last Updated Date 2023-06-20

Provider Mailing Address Detail

Address 1705 Broadway Ave S
City Rochester
State Minnesota (MN)
Post Code 55904
Phone Number 5072884427
Fax Number 5072888497

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No D12483
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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FAQs about Nellie Kim-Weroha

What is the unique 10-digit identification code issued to Nellie Kim-Weroha by the Centers for Medicare & Medicaid Services?

The Nellie Kim-Weroha has been assigned the NPI (National Provider Identifier) 1780706275 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Nellie Kim-Weroha's facilities are situated?

The facilities of Nellie Kim-Weroha are physically located at the following address: 1705 Broadway Ave S, Rochester, MN, 55904.

What is Nellie Kim-Weroha's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Nellie Kim-Weroha is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date did the Nellie Kim-Weroha receive the assignment of its 1780706275 from the Centers for Medicare & Medicaid Services?

The Nellie Kim-Weroha was issued its 1780706275 by the Centers for Medicare & Medicaid Services on 2007-04-04.

As of what date were the details related to Nellie Kim-Weroha most recently updated or revised?

The information pertaining to Nellie Kim-Weroha, including its address, specialty, and other relevant details, was last updated or revised on 2023-06-20.

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