Dr Dongsoo David Kim, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Shreveport, Louisiana. His current practice location is
1501 Kings Hwy, Department Of Oral Surgery, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 813-2625.
Dr Dongsoo David Kim is licensed to practice in Louisiana (license number 15055R) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821016957.
Healthcare Provider's Profile
Full Name | Dr Dongsoo David Kim |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1501 Kings Hwy, Shreveport, Louisiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Dongsoo David Kim attended and graduated from in
NPI Data:
- NPI Number: 1821016957
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 08/25/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Dongsoo David Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821016957 | NPI | - | NPPES |
1855421 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5542 (Louisiana) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 15055R (Louisiana) | 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. Dr Dongsoo David Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Dongsoo David Kim, DMD, MD 1501 Kings Hwy, Department Of Oral Surgery, Shreveport, LA 71103-4228 Ph: (318) 813-2625 | Dr Dongsoo David Kim, DMD, MD 1501 Kings Hwy, Department Of Oral Surgery, Shreveport, LA 71103-4228 Ph: (318) 813-2625 |
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