KEON-JUNG KIM PROFESSIONAL DENTAL CORPORATION – NPI #1114132107
Clinic/Center

KEON-JUNG KIM PROFESSIONAL DENTAL CORPORATION is an AHC clinic located in CARLSBAD, CA. NPPES has assigned the NPI number 1114132107 to KEON-JUNG KIM PROFESSIONAL DENTAL CORPORATION on May 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 19 years ago on Aug 23, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEON-JUNG KIM PROFESSIONAL DENTAL CORPORATION below.

NPI Profile for
KEON-JUNG KIM PROFESSIONAL DENTAL CORPORATION

NPI Number
1114132107
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEON-JUNG KIM PROFESSIONAL DENTAL CORPORATION
Primary location
3257 CAMINO DE LOS COCHES
#303
CARLSBAD, CA 92009-8966
Phone: (760) 479-9876 Fax: (760) 479-0028
Mailing address
Same as primary location
Organization Subpart
Yes - KEON-JUNG KIM PROFESSIONAL DENTAL CORPORATION is subpart of another organization.
Authorized Official
KEON-JUNG KIM
OWNER
Phone: (760) 479-9876
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 CA 47919

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.