Patrick H. Im, D.D.S.

Dentist · Ooltewah, TN

Individual Active NPI

NPI number 1598927105

Practice location

9560 Legacy Oaks Dr
Ooltewah, TN 37363-4869
Phone
(706) 264-9441

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NPI record

NPI
1598927105
Entity type
Individual (Type 1)
Enumeration date
June 26, 2008
Last updated
September 20, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 9219 TN
Dentist 122300000X DN011603 GA
Dentist 122300000X 42663 CA

Mailing address

15230 Lakeshore Dr
Clearlake, CA 95422-8107
Phone
(707) 995-4540
Fax
(707) 994-2401

About Dr. Im

Patrick H. Im, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 9560 Legacy Oaks Dr, Ooltewah, TN 37363-4869. The NPI number 1598927105 was assigned on June 26, 2008 and the record was last updated on September 20, 2019.

Dr. Im lists 3 licenses in the registry: #9219 (TN) for Dentist; #DN011603 (GA) for Dentist; #42663 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Patrick H. Im, D.D.S.?

The NPI number is 1598927105.

What is the phone number of Dr. Im?

The phone number listed for the practice location is (706) 264-9441.

Where is Dr. Im located?

9560 Legacy Oaks Dr, Ooltewah, TN 37363-4869.

What is the taxonomy code for Dr. Im?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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