Richland Creek Dental

LBN: Young W Kim
Richland Creek Dental is an health care organization with primary practice located at 1105 Kaighns Ave , Camden NJ 08103-2711. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Young W Kim can be contacted via phone (856) 365-8613, or through Kim, Young W via phone (856) 365-8613.

Contact Information

Primary practice address
1105 Kaighns Ave Camden NJ 08103-2711
Phone: (856) 365-8613
Fax: (856) 365-8575
Website:
Map and Directions
Authorized official contact:
Name: Kim, Young W Doctor of Dental Surgery (DDS)
Phone: (856) 365-8613

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI021681 New Jersey

Profile Details

NPI number 1639152713
LBN Legal business name Young W Kim
DBA Doing business as Richland Creek Dental
Authorized official Kim, Young W Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639152713 NPPES
Pennsylvania Other 1964861 MEDICAID
Pennsylvania MEDICAID 8700001 MEDICAID

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