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SEONG W. KIM DMD LLC NPI 1811303241


NPI Information

NPI: 1811303241
Provider Name: SEONG W. KIM, DMD, LLC

Doing Business As: PEACHTREE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
13056 SE DIVISION ST
PORTLAND, OR
ZIP 97236
Phone: (503) 760-1341
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SEONG W. KIM, DMD, LLC is a general practice dentist in Portland, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SEONG W. KIM, DMD, LLC NPI is 1811303241. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peachtree Dental.

The provider's business location address is:

13056 SE DIVISION ST
PORTLAND, OR
ZIP 97236-039
Phone: (503) 760-1341

The provider's authorized official is Seong Kim .
The authorized official title is Owner and has the following contact phone number (503) 473-4839.

The enumeration date for this NPI number is 7/7/2014 and was last updated on 7/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD9495OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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