Active NPIIndividual provider

Dr. Alicia Kim, DMD

Dentist in Revere, Massachusetts

NPI Number1326647405
Practice location
651 Squire RD, Revere, MA 02151-1866
Fax
—
Last updated
October 20, 2020

Alicia Kim is a Dentist based in Revere, MA. Alicia Kim practices in Revere, MA and has the professional credentials of DMD. The NPI Number for Alicia Kim is 1326647405 and holds a License No. DN1858864 (MA). The current practice location address for Alicia Kim is 651 Squire RD, Revere, MA 02151-1866 and can be reached out via phone at 781-289-3331.

Provider Profile Details

NPI Number
1326647405
Provider Name
Alicia Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
651 Squire RD, Revere, MA 02151-1866
Phone Number
781-289-3331
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2020
Last Update Date
October 20, 2020
Certification Date
October 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
651 Squire RD
Revere, MA 02151-1866
City
Revere
Zip
02151-1866
Phone Number
781-289-3331
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
110 Beverly St Apt 706
Boston, MA 02114-2296
City
Boston
State
MA
Zip
02114-2296

License Information

License Number
DN1858864
License State
MA
Taxonomy
Dentist · 122300000X · 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. Alicia Kim, DMD?

The NPI number of Dr. Alicia Kim, DMD is 1326647405. It was assigned on October 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Alicia Kim, DMD?

Dr. Alicia Kim, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1858864.

Where does Dr. Alicia Kim, DMD practice?

The practice location is 651 Squire RD, Revere, MA 02151-1866. The office can be reached at 781-289-3331 (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 1326647405 directly on the NPPES registry website.

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