Active NPIIndividual providerSole proprietor

Yeachan Kim, DMD

Dentist, General Practice in Lowell, Massachusetts

NPI Number1154072056
Practice location
26-28 Wood St, Lowell, MA 01851
Fax
—
Last updated
July 11, 2022

Yeachan Kim is a Dentist, General Practice based in Lowell, MA. Yeachan Kim practices in Lowell, MA and has the professional credentials of DMD. The NPI Number for Yeachan Kim is 1154072056 and holds a License No. DN1859482 (MA). The current practice location address for Yeachan Kim is 26-28 Wood St, Lowell, MA 01851 and can be reached out via phone at 978-458-5544.

Provider Profile Details

NPI Number
1154072056
Provider Name
Yeachan Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
26-28 Wood St, Lowell, MA 01851
Phone Number
978-458-5544
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 12, 2022
Last Update Date
July 11, 2022
Certification Date
July 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
26-28 Wood St
Lowell, MA 01851
City
Lowell
Zip
01851
Phone Number
978-458-5544
Lowell, MA 01851Get directions →

Provider Business Mailing Address Details

Address
221 Farms Dr
Burlington, MA 01803-3742
City
Burlington
State
MA
Zip
01803-3742
Phone Number
781-879-9369

License Information

License Number
DN1859482
License State
MA
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 Yeachan Kim, DMD?

The NPI number of Yeachan Kim, DMD is 1154072056. It was assigned on January 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Yeachan Kim, DMD?

Yeachan Kim, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1859482.

Where does Yeachan Kim, DMD practice?

The practice location is 26-28 Wood St, Lowell, MA 01851. The office can be reached at 978-458-5544 (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 1154072056 directly on the NPPES registry website.

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