Dr King Kim, DMD | |
1325 S Pine St, Suite 102, Melbourne, FL 32901-3189 | |
(321) 725-5377 | |
(321) 951-3393 |
Full Name | Dr King Kim |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 20 Years |
Location | 1325 S Pine St, Melbourne, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639358211 | NPI | - | NPPES |
63A10 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN182228 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
New Image Maxillofacial Llc | 6800029331 | 4 |
Entity Name | New Image Maxillofacial Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194767707 PECOS PAC ID: 6800029331 Enrollment ID: O20140507000700 |
Mailing Address | Practice Location Address |
---|---|
Dr King Kim, DMD 1325 S Pine St, Suite 102, Melbourne, FL 32901-3189 Ph: (321) 725-5377 | Dr King Kim, DMD 1325 S Pine St, Suite 102, Melbourne, FL 32901-3189 Ph: (321) 725-5377 |
Matthew Valooran Joseph, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2328 Citadel Way Ste 101, Melbourne, FL 32940 Phone: 321-203-5251 | |
Dr. Richard Wilson Leong Jr., DDS PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 S Babcock St, Melbourne, FL 32901 Phone: 321-723-7255 Fax: 321-768-9643 | |
Dr. Kathy J Stetler, DMD MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4301 N Wickham Rd, Ste 4, Melbourne, FL 32935 Phone: 321-255-9600 | |
Dr. Lindsay Rule, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6890 | |
Alfredo Fanelli, Dentist Medicare: Medicare Enrolled Practice Location: 1770 N Wickham Rd, Melbourne, FL 32935 Phone: 321-235-0606 | |
Dr. Eric W. Hodgson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1250 W Eau Gallie Blvd Ste A, Melbourne, FL 32935 Phone: 321-254-4488 Fax: 321-255-3335 | |
Mr. Steven Done Smith, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1360 Bedford Dr, Melbourne, FL 32940 Phone: 321-242-7550 Fax: 321-242-7110 |