Kim, Dongsoo David

Kim, Dongsoo David is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Oral Surgery, Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Kim, Dongsoo David can be contacted via phone (318) 813-2625.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Oral Surgery Shreveport LA 71103-4228
Phone: (318) 813-2625
Fax: (318) 813-2627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5542 Louisiana
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 15055R Louisiana

Profile Details

NPI number 1821016957
LBN Legal business name Kim, Dongsoo David
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 25th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821016957 NPPES
Louisiana MEDICAID 1855421

Popular Providers