EUGENE JUNG KIM (NPI# 1851389225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851389225 |
| Entity Type | Individual |
| Full Name | EUGENE JUNG KIM |
| Credential | DDS |
| Practice Address |
8575 E Princess Dr Suite 217 Scottsdale AZ 85255-5483 |
| Practice Telephone | 4803428200 |
| Practice Fax Number | 4803428008 |
| Mailing Telephone | 4803428200 |
| Mailing Fax Number | 4803428008 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2015-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9251 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 49585711 | 05 | |
| DEA | FK4401890 | 01 | |
| DEA | FK4854041 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477825438 | Eugene Y Kim | Radiology | 1613 Hill St, White Oak, PA 15131-2119 | 2012-02-06 |
| 1912225673 | Eugene Kim | Pain Medicine | 4650 Sunset Blvd, Ms #3, Children's Hospial Los Angeles, Dept of Anesthesia, Los Angeles, CA 90027 | 2010-05-05 |
| 1609051838 | Eugene Duejin Kim | Dentist | 5861 Beach Blvd, Buena Park, CA 90621-2021 | 2008-01-07 |
| 1346277969 | Eugene H Kim | Internal Medicine | 9378 Forestwood Ln, Suite E, Manassas, VA 20110-4741 | 2006-06-27 |
| 1831157049 | Eugene Young Kim | Podiatrist | 3117 Ditmars Blvd, Astoria, NY 11105-2300 | 2006-05-04 |
| 1255390522 | Eugene I. Kim | Dentist | 9201 N 29th Ave, Suite 33, Phoenix, AZ 85051-3468 | 2006-03-23 |
| 1679186324 | Eugene Kim | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2020-08-24 |
| 1114585239 | Eugene Heejin Kim | Student in an Organized Health Care Education/Training Program | 1251 S Cedar Crest Blvd Ste 202a, Allentown, PA 18103-6214 | 2019-06-04 |
| 1710541982 | Eugene Kim | Orthopaedic Surgery | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2019-04-23 |
| 1588151641 | Eugene Kim | Student in an Organized Health Care Education/Training Program | 800 Washington St, Boston, MA 02111-1552 | 2018-04-15 |
| Street Address |
8575 E PRINCESS DR SUITE 217 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-5483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486310 | Martin Blume | Family Medicine | 8575 E Princess Dr, Suite 111, Scottsdale, AZ 85255-5483 | 2005-06-10 |
| 1063893295 | Pinnacle Peak Oral Surgery, Pllc | Clinic/Center | 8575 E Princess Dr, Suite #217, Scottsdale, AZ 85255-5483 | 2015-06-12 |
| 1295095883 | Gartenberg Family Medicine, Pllc | Family Medicine | 8575 E Princess Dr, Suite # 107, Scottsdale, AZ 85255-5483 | 2012-05-17 |
| 1053684928 | Cardiovascular Consultants, Ltd | Internal Medicine | 8575 E Princess Dr, Suite 115, Scottsdale, AZ 85255-5483 | 2012-02-22 |
| 1740562966 | Preferred Health Management Corporation | Family Medicine | 8575 E Princess Dr, Suite 107, Scottsdale, AZ 85255-5483 | 2011-09-14 |
| 1528385952 | Stephanie Gajus | Naturopath | 8575 E Princess Dr, Suite 111, Scottsdale, AZ 85255-5483 | 2010-04-25 |
| 1770755696 | Symphysis LLC | Internal Medicine | 8575 E Princess Dr, Suite 201, Scottsdale, AZ 85255-5483 | 2008-04-01 |
| 1487837654 | Az Eye Health Pllc | Optometrist | 8575 E Princess Dr, #105, Scottsdale, AZ 85255-5483 | 2007-12-11 |
| 1285841817 | Family Practice Medicine Pllc | Family Medicine | 8575 E Princess Dr, Suite# 207, Scottsdale, AZ 85255-5483 | 2007-05-16 |
| 1982823779 | Morrison Vein Institute Ltd | Phlebology | 8575 E Princess Dr, Suite 223, Scottsdale, AZ 85255-5483 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962052035 | Summit Aesthetics LLC | Dentist | 34209 N. Scottsdale Rd, Suite 103, Scottsdale, AZ 85266 | 2019-09-19 |
| 1477075653 | Bertz Professional Corporation | Dentist | 3501 N Scottsdale Rd Ste 110, Scottsdale, AZ 85251-5649 | 2017-07-10 |
| 1790205987 | Albert Edward Carlotti IIi | Dentist | 7930 E Thompson Peak Pkwy Ste 101, Scottsdale, AZ 85255-7403 | 2017-06-20 |
| 1770937146 | Michael W. Hansen | Dentist | 7555 E Osborn Rd # 209, Scottsdale, AZ 85251-6434 | 2016-04-21 |
| 1477982551 | Michelle Cabret-carlotti | Dentist | 7930 E Thompson Peak Pkwy, Suite 101, Scottsdale, AZ 85255-7403 | 2013-11-08 |
| 1043586704 | James Millard | Dentist | 11302 E Whitethorn Dr, Scottsdale, AZ 85262-5681 | 2012-03-28 |
| 1518113117 | Robert K Yong | Dentist | 3233 N 70th St, Unit 1014, Scottsdale, AZ 85251 | 2008-08-14 |
| 1609039114 | Desert Palm Surgical Group | Dentist | 7930 East Thompson Peak Parkway, Suite 101, Scottsdale, AZ 85255 | 2008-07-03 |
| 1275681330 | Carl J. Gassmann | Dentist | 10603 N Hayden Rd, Suite H-112, Scottsdale, AZ 85260-5518 | 2007-01-08 |
| 1760590509 | Corwin Dean Martin | Dentist | 9450 E Ironwood Square Dr, Scottsdale, AZ 85258-4570 | 2006-08-29 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
Please comment or provide details below to improve the information on EUGENE JUNG KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.