Individual provider · Type 1 NPI

Kunmin Roo

Dentist · Davenport, IA

NPI number 1083105878 Active

Practice location

5025 Utica Ridge Rd Ste 103
Davenport, IA 52807-3035

Call (563) 345-8888 Map

Fax (888) 250-2562

Mailing address

3127 N University St
Peoria, IL 61604-1316

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019.031889 (IL)
Dentist Primary 122300000XDDS-09595 (IA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1083105878

Kunmin Roo's National Provider Identifier is 1083105878, issued on May 29, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Davenport, IA. The record was last updated on Oct 31, 2019.