Kim, Juan
Kim, Juan is an individual health care provider with primary practice located at 2101 Charlotte St Ste 310 , Kansas City MO 64108-2727. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Kim, Juan can be contacted via phone (816) 404-0500.Contact Information
Primary practice address
2101 Charlotte St Ste 310
Kansas City MO 64108-2727
Phone: (816) 404-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D10311 | Oregon |
| Dental Providers / General Practice | 1223G0001X | 2018011706 | Missouri |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2018011706 | Missouri |
Profile Details
| NPI number | 1356717987 |
|---|---|
| LBN Legal business name | Kim, Juan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2015 |
| Last updated | Dec 10th, 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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