Kim, Andrew D

Kim, Andrew D is an sole proprietor health care provider with primary practice located at 573 Martin Luther King Jr Blvd , Newark NJ 07102-1215. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kim, Andrew D can be contacted via phone (973) 621-6678.

Contact Information

Primary practice address
573 Martin Luther King Jr Blvd Newark NJ 07102-1215
Phone: (973) 621-6678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 20618 New Jersey

Profile Details

NPI number 1578517801
LBN Legal business name Kim, Andrew D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Sep 23rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578517801 NPPES
New Jersey MEDICAID 8049301

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