Active NPIIndividual provider

Celeste H Kim, DMD

Dentist, Periodontics in Lyndhurst, New Jersey

NPI Number1295972115
Practice location
464 Valley Brook Ave Fl 2A, Lyndhurst, NJ 07071-1995
Fax
—
Last updated
November 16, 2021

Celeste Hoin Kim is a Dentist, Periodontics based in Lyndhurst, NJ. Celeste Hoin Kim practices in Lyndhurst, NJ and has the professional credentials of DMD. The NPI Number for Celeste Hoin Kim is 1295972115 and holds a License No. DS037622 (PA). The current practice location address for Celeste Hoin Kim is 464 Valley Brook Ave Fl 2A, Lyndhurst, NJ 07071-1995 and can be reached out via phone at 201-933-9092.

Provider Profile Details

NPI Number
1295972115
Provider Name
Celeste Hoin Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
464 Valley Brook Ave Fl 2A, Lyndhurst, NJ 07071-1995
Phone Number
201-933-9092
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
January 14, 2009
Last Update Date
November 16, 2021
Certification Date
November 16, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
464 Valley Brook Ave Fl 2A
Lyndhurst, NJ 07071-1995
Zip
07071-1995
Phone Number
201-933-9092
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
464 Valley Brook Ave Fl 2A
Lyndhurst, NJ 07071-1995
City
Lyndhurst
State
NJ
Zip
07071-1995
Phone Number
201-933-9092

License Information

License Number (1)
DS037622
License State (1)
PA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DI02529800
License State (2)
NJ
Taxonomy (2)
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 Celeste H Kim, DMD?

The NPI number of Celeste H Kim, DMD is 1295972115. It was assigned on January 14, 2009 and is currently active in the NPPES registry.

What is the specialty of Celeste H Kim, DMD?

Celeste H Kim, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in PA under license number DS037622.

Where does Celeste H Kim, DMD practice?

The practice location is 464 Valley Brook Ave Fl 2A, Lyndhurst, NJ 07071-1995. The office can be reached at 201-933-9092 (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 1295972115 directly on the NPPES registry website.

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