Active NPIIndividual providerSole proprietor

Dr. Gyoung-Hoon Kim, DDS

Dentist, General Practice in Palisades Park, New Jersey

NPI Number1093963985
Practice location
280 Broad Ave, #203, Palisades Park, NJ 07650-1574
Fax
201-947-8161
Last updated
September 4, 2008

Gyoung-Hoon Kim is a Dentist, General Practice based in Palisades Park, NJ. Gyoung-Hoon Kim practices in Palisades Park, NJ and has the professional credentials of DDS. The NPI Number for Gyoung-Hoon Kim is 1093963985 and holds a License No. 22DI02224000 (NJ). The current practice location address for Gyoung-Hoon Kim is 280 Broad Ave, #203, Palisades Park, NJ 07650-1574 and can be reached out via phone at 201-947-9900 and via fax at 201-947-8161.

Provider Profile Details

NPI Number
1093963985
Provider Name
Gyoung-Hoon Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
280 Broad Ave, #203, Palisades Park, NJ 07650-1574
Phone Number
201-947-9900
Fax Number
201-947-8161
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
September 4, 2008
Last Update Date
September 4, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
280 Broad Ave
#203
Palisades Park, NJ 07650-1574
Zip
07650-1574
Phone Number
201-947-9900
Fax Number
201-947-8161
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
280 Broad Avenue
#203
Palisades Park, NJ 07650-1574
City
Palisades Park
State
NJ
Zip
07650-1574
Phone Number
201-947-9900
Fax Number
201-947-8161

License Information

License Number
22DI02224000
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Gyoung-Hoon Kim, DDS?

The NPI number of Dr. Gyoung-Hoon Kim, DDS is 1093963985. It was assigned on September 4, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Gyoung-Hoon Kim, DDS?

Dr. Gyoung-Hoon Kim, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02224000.

Where does Dr. Gyoung-Hoon Kim, DDS practice?

The practice location is 280 Broad Ave, #203, Palisades Park, NJ 07650-1574. The office can be reached at 201-947-9900 (phone) or 201-947-8161 (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 1093963985 directly on the NPPES registry website.

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