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Contact Information

CAROL KIM, DDS
3842 S GLENSTONE AVE
SPRINGFIELD, MO65804-4418
 Phone: 417-420-9024
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for CAROL KIM · (Female)

NPI Number 1487958112
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/11/2011
Last updated 05/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2019024070
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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