Kim, Jason

Kim, Jason is an individual health care provider with primary practice located at 374Th Medical Group Unit 5071, Apo AP 96328. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Kim, Jason can be contacted via phone (315) 225-8864.

Contact Information

Primary practice address
374Th Medical Group Unit 5071 Apo AP 96328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 31024 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 31024 Texas

Profile Details

NPI number 1174908529
LBN Legal business name Kim, Jason
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2015
Last updated Jul 19th, 2024 - 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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