Kim, David Yongtae

Kim, David Yongtae is an individual health care provider with primary practice located at 506 1St Ave S.E , Cullman AL 35055. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kim, David Yongtae can be contacted via phone (256) 739-3337.

Contact Information

Primary practice address
506 1St Ave S.E Cullman AL 35055
Phone: (256) 739-3337
Fax: (256) 739-3165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4937 Alabama

Profile Details

NPI number 1710070776
LBN Legal business name Kim, David Yongtae
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 19th, 2012 - about 14 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 1710070776 NPPES
Alabama MEDICAID 009920665

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