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
Phone: (315) 225-8864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 2 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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