Kyung Sang Kim
Dentist Prosthodontist
Tingay Dental Clinic 320 W Hospital Road
Fort Gordon
, Georgia 30905-0001
Kyung Sang Kim
Dentist Prosthodontist
Tingay Dental Clinic 320 W Hospital Road
Fort Gordon
, Georgia 30905-0001
(703) 638-9410
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About
Features
Specialties
- Dentist
- Prosthodontist
Languages spoken
- English
Location
First Address
- Kyung Sang Kim
- Tingay Dental Clinic 320 W Hospital Road
- Fort Gordon, GA
- Zip : 30905-3976
- Phone : (703) 638-9410
Second Address
- Kyung Sang Kim
- Tingay Dental Clinic 320 W Hospital Road
- Fort Gordon, GA
- Zip : 30905-0001
- Phone : (067) 875-1027
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 20536 | MA |
| N | 1223P0700X | Prosthodontist | DN20536 | MA |
National Provider Identifier
| NPI | 1124076328 |
|---|---|
| Provider Name | Kyung Sang Kim |
| First Address | Fort Gordon, GA 30905-3976 |
| Second Address | Fort Gordon, GA 30905-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 20/08/2021 |
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.