DR. CHRISTOPHER KIM DDS PA NPI 1952748295

NPI Information

NPI: 1952748295
Provider Name: DR. CHRISTOPHER KIM, DDS, PA

Doing Business As: EAGLE MOUNTAIN DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8455 BOAT CLUB RD
SUITE 175
FORT WORTH, TX
ZIP 76179
Phone: (817) 750-5433
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DR. CHRISTOPHER KIM, DDS, PA is a dental clinic center in Fort Worth, TX. DR. CHRISTOPHER KIM, DDS, PA NPI is 1952748295. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagle Mountain Dentistry.

The provider's business location address is:

8455 BOAT CLUB RD
SUITE 175
FORT WORTH, TX
ZIP 76179-632
Phone: (817) 750-5433

The provider's authorized official is Christopher Chaeho Kim .
The authorized official title is Dentist and has the following contact phone number (817) 750-5433.

The enumeration date for this NPI number is 5/28/2013 and was last updated on 5/28/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	21561	TEXAS	Yes

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: 11/14/2023

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