Kim, Jung B

Kim, Jung B is an individual health care provider with primary practice located at 1815 W 13Th Street Suite 7, Wilmington DE 19806. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Kim, Jung B can be contacted via phone (302) 652-3556.

Contact Information

Primary practice address
1815 W 13Th Street Suite 7 Wilmington DE 19806
Phone: (302) 652-3556
Fax: (302) 654-8088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 1049 Delaware

Profile Details

NPI number 1174612626
LBN Legal business name Kim, Jung B
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1174612626 NPPES
Delaware MEDICAID 0001186808
Delaware Other 263203

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