Bowon Kim
Dentist, General Practice in Cambridge, Massachusetts
1275022485- Practice location
- 126 Inman St, Cambridge, MA 02139-1206
- Phone
- 617-492-8210
- Fax
- —
- Last updated
- February 25, 2021
Bowon Kim is a Dentist, General Practice based in Cambridge, MA. Bowon Kim practices in Cambridge, MA. The NPI Number for Bowon Kim is 1275022485 and holds a License No. DN1858585 (MA). The current practice location address for Bowon Kim is 126 Inman St, Cambridge, MA 02139-1206 and can be reached out via phone at 617-492-8210.
Provider Profile Details
- NPI Number
- 1275022485
- Provider Name
- Bowon Kim
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 126 Inman St, Cambridge, MA 02139-1206
- Phone Number
- 617-492-8210
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2018
- Last Update Date
- February 25, 2021
- Certification Date
- February 25, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 126 Inman St
Cambridge, MA 02139-1206 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02139-1206
- Phone Number
- 617-492-8210
Provider Business Mailing Address Details
- Address
- 2 Leighton St Apt 340
Cambridge, MA 02141-3007 - City
- Cambridge
- State
- MA
- Zip
- 02141-3007
- Phone Number
- 347-244-9498
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- DN1858585
- License State (2)
- MA
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bowon Kim?
The NPI number of Bowon Kim is 1275022485. It was assigned on May 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Bowon Kim?
Bowon Kim is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1858585.
Where does Bowon Kim practice?
The practice location is 126 Inman St, Cambridge, MA 02139-1206. The office can be reached at 617-492-8210 (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 1275022485 directly on the NPPES registry website.