Active NPIIndividual provider

Dr. Jin K Kim, DMD

Dentist, General Practice in Sudbury, Massachusetts

NPI Number1306002480
Practice location
19 Demarco RD, Sudbury, MA 01776-2019
Fax
—
Last updated
September 20, 2016

Jin Koo Kim is a Dentist, General Practice based in Sudbury, MA. Jin Koo Kim practices in Sudbury, MA and has the professional credentials of DMD. The NPI Number for Jin Koo Kim is 1306002480 and holds a License No. 22255 (MA). The current practice location address for Jin Koo Kim is 19 Demarco RD, Sudbury, MA 01776-2019 and can be reached out via phone at 339-221-3692.

Provider Profile Details

NPI Number
1306002480
Provider Name
Jin Koo Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
19 Demarco RD, Sudbury, MA 01776-2019
Phone Number
339-221-3692
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2008
Last Update Date
September 20, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Demarco RD
Sudbury, MA 01776-2019
Zip
01776-2019
Phone Number
339-221-3692
Sudbury, MA 01776Get directions →

Provider Business Mailing Address Details

Address
19 Demarco RD
Sudbury, MA 01776-2019
City
Sudbury
State
MA
Zip
01776-2019
Phone Number
339-221-3692

License Information

License Number
22255
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 Dr. Jin K Kim, DMD?

The NPI number of Dr. Jin K Kim, DMD is 1306002480. It was assigned on July 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jin K Kim, DMD?

Dr. Jin K Kim, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 22255.

Where does Dr. Jin K Kim, DMD practice?

The practice location is 19 Demarco RD, Sudbury, MA 01776-2019. The office can be reached at 339-221-3692 (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 1306002480 directly on the NPPES registry website.

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