Kim, Jason Eugene

Kim, Jason Eugene is an individual health care provider with primary practice located at 112 S 100 W , Tooele UT 84074-2091. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is his primary health care specialty. Kim, Jason Eugene can be contacted via phone (435) 843-0225.

Contact Information

Primary practice address
112 S 100 W Tooele UT 84074-2091
Phone: (435) 843-0225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10461 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 7919446-9922 Utah

Profile Details

NPI number 1770894701
LBN Legal business name Kim, Jason Eugene
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2010
Last updated Mar 13th, 2023 - about 3 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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