Dr Edmond L Kim, DDS is a
Dentist based in South Beach, Oregon. Dr Edmond L Kim is licensed to practice in Nebraska (license number 8330) and his current practice location is
4909 S Coast Hwy Ste 8, South Beach, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 867-3755.
NPI number for Dr Edmond L Kim is 1740431451 and his current mailing address is 4909 S Coast Hwy Ste 8, South Beach, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740431451.
Healthcare Provider's Profile
| Full Name | Dr Edmond L Kim |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 4909 S Coast Hwy Ste 8, South Beach, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1740431451
- Provider Enumeration Date: 10/01/2008
- Last Update Date: 10/01/2008
Medical Identifiers
Medical identifiers for Dr Edmond L Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740431451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 8330 (Nebraska) | 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 Edmond L Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edmond L Kim, DDS
4909 S Coast Hwy Ste 8,
South Beach, OR 97366-9654
Ph: (541) 867-3755 | Dr Edmond L Kim, DDS
4909 S Coast Hwy Ste 8,
South Beach, OR 97366-9654
Ph: (541) 867-3755 |
Reviews and Comments