Kim, Samuel

Kim, Samuel is an individual health care provider with primary practice located at 3722 Cedar Heights Dr , Cedar Falls IA 50613-6207. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kim, Samuel can be contacted via phone (319) 266-7559.

Contact Information

Primary practice address
3722 Cedar Heights Dr Cedar Falls IA 50613-6207
Phone: (319) 266-7559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1000974-15 Wisconsin
Dental Providers / Dentist 122300000X DDS-09114 Iowa

Profile Details

NPI number 1740698992
LBN Legal business name Kim, Samuel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2014
Last updated May 6th, 2019 - about 7 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 1740698992 NPPES
Iowa MEDICAID 122300000X

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