Kim, Jung Hyun

Kim, Jung Hyun is an individual health care provider with primary practice located at 598 W Main St , Norwich CT 06360-5342. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Kim, Jung Hyun can be contacted via phone (917) 334-3544.

Contact Information

Primary practice address
598 W Main St Norwich CT 06360-5342
Phone: (917) 334-3544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14670 Maryland
Dental Providers / Dentist 122300000X 010808 Connecticut
Dental Providers / Dentist 122300000X 010809 Connecticut

Profile Details

NPI number 1235445354
LBN Legal business name Kim, Jung Hyun
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2010
Last updated Oct 19th, 2015 - about 11 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 1235445354 NPPES
Connecticut MEDICAID 1235445354
Connecticut MEDICAID 14375326357
Connecticut MEDICAID 1629384987

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