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Pyo Jae Kim
General Practice Dentistry in Troy, Michigan
NPI 1659991107

Pyo Jae Kim is a General Practice Dentistry based in Troy, MI and is specialized in General Practice. Pyo Jae Kim practices in Troy, MI. The NPI Number for Pyo Jae Kim is 1659991107 and holds a License No. (Michigan).

The current practice location address for Pyo Jae Kim is 805 Sandalwood Dr, Troy, MI and can be reached out via phone at 213-400-2614. You can also correspond with Pyo Jae Kim through the mailing address at 805 SANDALWOOD DR, TROY, MI - 48085-1643 (mailing address contact number: 213-400-2614).

Location: 805 Sandalwood Dr, Troy, MI, 48085-1643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659991107
Provider Name
Pyo Jae Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
805 Sandalwood Dr, Troy, MI, 48085-1643
Phone Number
213-400-2614
Fax Number
Provider Enumeration Date
04/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
805 Sandalwood Dr
City
Troy
State
Michigan
Zip
48085-1643
Phone Number
213-400-2614
Fax Number
person
Provider Business Mailing Address Details
Address
805 Sandalwood Dr
City
Troy
State
Michigan
Zip
48085-1643
Phone Number
213-400-2614
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901600680 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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