Dr Jiwon Kang, DDS | |
103 W 11th St, Big Spring, TX 79720-2913 | |
(432) 517-4557 | |
(432) 400-1406 |
Full Name | Dr Jiwon Kang |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 103 W 11th St, Big Spring, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841435591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 27908 (Texas) | Primary |
Entity Name | South Plains Rural Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295746402 PECOS PAC ID: 4880505726 Enrollment ID: O20040610000024 |
Mailing Address | Practice Location Address |
---|---|
Dr Jiwon Kang, DDS 1000 Fm 300, Levelland, TX 79336-6235 Ph: (806) 894-7842 | Dr Jiwon Kang, DDS 103 W 11th St, Big Spring, TX 79720-2913 Ph: (432) 517-4557 |
Ketaki Chougule, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1915 S Gregg St, Big Spring, TX 79720 Phone: 432-264-0205 | |
Dr. John Harry Myers, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1702 W Fm 700, Big Spring, TX 79720 Phone: 432-267-4521 | |
Dr. David L. Ward, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1500 Scurry St, Big Spring, TX 79720 Phone: 432-267-1677 Fax: 432-267-7840 | |
Robert Alan Bailey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1500 Scurry St, Big Spring, TX 79720 Phone: 806-661-8668 | |
Dr. Yasoda Vardhani Boyapati, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1300 S Gregg St, Big Spring, TX 79720 Phone: 432-517-4557 Fax: 432-517-4556 | |
Dr. John Richard Key, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Scurry St, Big Spring, TX 79720 Phone: 432-263-7341 | |
Parham Koohbor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1915 S Gregg St, Big Spring, TX 79720 Phone: 432-264-0205 |