Dr. Kyeong-Bin Im, DDS
Dentist, General Practice in Fairfield, Connecticut
1063552974- Practice location
- 400 Stillson RD, Fairfield, CT 06824-3103
- Phone
- 203-333-6171
- Fax
- 203-333-8641
- Last updated
- July 8, 2007
Kyeong-Bin Im is a Dentist, General Practice based in Fairfield, CT. Kyeong-Bin Im practices in Fairfield, CT and has the professional credentials of DDS. The NPI Number for Kyeong-Bin Im is 1063552974 and holds a License No. 8649 (CT). The current practice location address for Kyeong-Bin Im is 400 Stillson RD, Fairfield, CT 06824-3103 and can be reached out via phone at 203-333-6171 and via fax at 203-333-8641.
Provider Profile Details
- NPI Number
- 1063552974
- Provider Name
- Kyeong-Bin Im
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 400 Stillson RD, Fairfield, CT 06824-3103
- Phone Number
- 203-333-6171
- Fax Number
- 203-333-8641
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 8, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Stillson RD
Fairfield, CT 06824-3103 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824-3103
- Phone Number
- 203-333-6171
- Fax Number
- 203-333-8641
Provider Business Mailing Address Details
- Address
- 400 Stillson RD
Fairfield, CT 06824-3103 - City
- Fairfield
- State
- CT
- Zip
- 06824-3103
- Phone Number
- 203-333-6171
- Fax Number
- 203-333-8641
License Information
- License Number
- 8649
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Kyeong-Bin Im, DDS?
The NPI number of Dr. Kyeong-Bin Im, DDS is 1063552974. It was assigned on February 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Kyeong-Bin Im, DDS?
Dr. Kyeong-Bin Im, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 8649.
Where does Dr. Kyeong-Bin Im, DDS practice?
The practice location is 400 Stillson RD, Fairfield, CT 06824-3103. The office can be reached at 203-333-6171 (phone) or 203-333-8641 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063552974 directly on the NPPES registry website.