Care Dental P.a. | |
1350 W Fm 517 Dickinson TX 77539 | |
(281) 337-3500 | |
(281) 337-3211 |
Full Name | Care Dental P.a. |
---|---|
Speciality | Dentist |
Location | 1350 W Fm 517, Dickinson, Texas |
Authorized Official Name and Position | Ji H Kim (DENTIST) |
Authorized Official Contact | 2813373500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Care Dental P.a. Po Box 57948 Webster TX 77598-7948 Ph: (281) 337-3500 | Care Dental P.a. 1350 W Fm 517 Dickinson TX 77539 Ph: (281) 337-3500 |
NPI Number | 1598965055 |
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Provider Enumeration Date | 07/23/2007 |
Last Update Date | 07/23/2007 |
Medicare PECOS PAC ID | 3971971102 |
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Medicare Enrollment ID | O20221121000186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598965055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 19442 (Texas) | Primary |
Provider Name | Ji H Kim |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1649393174 PECOS PAC ID: 4082082219 Enrollment ID: I20221121000146 |
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