Provider Demographics
NPI:1639776040
Name:USCK PLLC
Entity Type:Organization
Organization Name:USCK PLLC
Other - Org Name:REMCON PRIME DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHANGHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:915-581-1300
Mailing Address - Street 1:7598 N MESA ST STE 208
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3521
Mailing Address - Country:US
Mailing Address - Phone:915-581-1300
Mailing Address - Fax:
Practice Address - Street 1:7598 N MESA ST STE 208
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3521
Practice Address - Country:US
Practice Address - Phone:915-581-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental