Kim, Eugene Jung

Kim, Eugene Jung is an individual health care provider with primary practice located at 8575 E Princess Dr Suite 217, Scottsdale AZ 85255-5483. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kim, Eugene Jung can be contacted via phone (480) 342-8200.

Contact Information

Primary practice address
8575 E Princess Dr Suite 217 Scottsdale AZ 85255-5483
Fax: (480) 342-8008
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9251 Arizona

Profile Details

NPI number 1851389225
LBN Legal business name Kim, Eugene Jung
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 7th, 2023 - about last year

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 1851389225 NPPES
Colorado MEDICAID 49585711

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