Kim, James

Kim, James is an sole proprietor health care provider with primary practice located at 3140 S Durango Dr Ste 100, Las Vegas NV 89117-9189. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Kim, James can be contacted via phone (917) 407-8141.

Contact Information

Primary practice address
3140 S Durango Dr Ste 100 Las Vegas NV 89117-9189
Phone: (917) 407-8141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 58517 California
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 127414 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X S2-141C Nevada
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 58517 California

Profile Details

NPI number 1588896740
LBN Legal business name Kim, James
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2009
Last updated Jun 15th, 2016 - about 8 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 1588896740 NPPES
Nevada MEDICAID 1588896740

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