DR. Jeong Doo Kim, M.D, D.D.S is an oral and maxillofacial surgery dentist in Riverside, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Jeong Doo Kim, M.D, D.D.S NPI is 1578778825. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4000 TYLER ST STE A
RIVERSIDE, CA
ZIP 92503-458
Phone: (951) 687-4460
Fax: (951) 687-7448
The NPI 1578778825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/11/2007 and was last updated on 10/18/2012.