Kyong H Kim Dds Llc

LBN: Kyong H Kim Dds Llc
Kyong H Kim Dds Llc is an health care organization with primary practice located at 6941 North Trenholm Road , Columbia SC 29206-1715. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kyong H Kim Dds Llc can be contacted via phone (803) 743-9894, or through Kim, Kyong H via phone (803) 528-3383.

Contact Information

Primary practice address
6941 North Trenholm Road Columbia SC 29206-1715
Fax: (803) 743-9896
Website:
Authorized official contact:
Name: Kim, Kyong H Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4145 South Carolina
Dental Providers / General Practice 1223G0001X 047812 New York
Dental Providers / General Practice 1223G0001X 39288 California

Profile Details

NPI number 1780738112
LBN Legal business name Kyong H Kim Dds Llc
DBA Doing business as
Authorized official Kim, Kyong H Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780738112 NPPES
South Carolina MEDICAID ZX4145

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