Andy Kim, DDS is a
Dentist - General Practice based in Benton, Tennessee. Andy Kim is licensed to practice in Tennessee (license number DS0000009365) and his current practice location is
108 Lifestyle Way, Benton, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 338-7777.
NPI number for Andy Kim is 1144505264 and his current mailing address is 5407 Curry Creek Rd, Crestwood, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144505264.
Healthcare Provider's Profile
| Full Name | Andy Kim |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 108 Lifestyle Way, Benton, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144505264
- Provider Enumeration Date: 10/20/2011
- Last Update Date: 10/20/2011
Medical Identifiers
Medical identifiers for Andy Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144505264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DS0000009365 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andy Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Andy Kim, DDS
5407 Curry Creek Rd,
Crestwood, KY 40014-9513
Ph: (502) 640-6632 | Andy Kim, DDS
108 Lifestyle Way,
Benton, TN 37307-3914
Ph: (423) 338-7777 |
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