Active NPIOrganization

Isaac Kim DDS

Dentist, Periodontics in Waltham, Massachusetts

NPI Number1124819057
Practice location
131 Main St, Waltham, MA 02453-6636
Fax
—
Last updated
September 24, 2026

Isaac Kim DDS is a healthcare organization based in Waltham, MA. Isaac Kim DDS practices in Waltham, MA. The NPI Number for Isaac Kim DDS is 1124819057. The current practice location address for Isaac Kim DDS is 131 Main St, Waltham, MA 02453-6636 and can be reached out via phone at 781-893-7500.

Provider Profile Details

NPI Number
1124819057
Provider Name
Isaac Kim DDS
Provider Entity Type
Organization
Address
131 Main St, Waltham, MA 02453-6636
Phone Number
781-893-7500
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Isaac Kim, DMD · Periodontist · 617-583-0015
Provider Enumeration Date
May 12, 2025
Last Update Date
September 24, 2026
Certification Date
September 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Main St
Waltham, MA 02453-6636
Zip
02453-6636
Phone Number
781-893-7500
Waltham, MA 02453Get directions →

Provider Business Mailing Address Details

Address
131 Main St
Waltham, MA 02453-6636
City
Waltham
State
MA
Zip
02453-6636

License Information

Taxonomy
Dentist, Periodontics · 1223P0300X · 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 Isaac Kim DDS?

The NPI number of Isaac Kim DDS is 1124819057. It was assigned on May 12, 2025 and is currently active in the NPPES registry.

What is the specialty of Isaac Kim DDS?

Isaac Kim DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X).

Where does Isaac Kim DDS practice?

The practice location is 131 Main St, Waltham, MA 02453-6636. The office can be reached at 781-893-7500 (phone).

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 1124819057 directly on the NPPES registry website.

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