Dr. Chang Min Richard Yim
Oral & Maxillofacial Surgeon
1401 Mercantile Ln Ste 102
Largo
, Maryland 20774-4306
Dr. Chang Min Richard Yim
Oral & Maxillofacial Surgeon
1401 Mercantile Ln Ste 102
Largo
, Maryland 20774-4306
(215) 840-5782
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Chang Min Richard Yim
- 7001 Arlington Rd
- Bethesda, MD
- Zip : 20814-5405
- Phone : (215) 840-5782
Second Address
- Dr. Chang Min Richard Yim
- 1401 Mercantile Ln Ste 102
- Largo, MD
- Zip : 20774-4306
- Phone : (301) 341-0041
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 16977 | MD |
National Provider Identifier
| NPI | 1417398405 |
|---|---|
| Provider Name | Dr. Chang Min Richard Yim |
| First Address | Bethesda, MD 20814-5405 |
| Second Address | Largo, MD 20774-4306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2013 |
| Last Update Date | 15/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.