Minkyu Kim, DDS
Dentist, General Practice in Tewksbury, Massachusetts
1396638011- Practice location
- 2 Rockingham Dr, Tewksbury, MA 01876-4276
- Phone
- 781-996-9969
- Fax
- —
- Last updated
- July 14, 2026
Minkyu Kim is a Dentist, General Practice based in Tewksbury, MA. Minkyu Kim practices in Tewksbury, MA and has the professional credentials of DDS. The NPI Number for Minkyu Kim is 1396638011 and holds a License No. DN10001402 (MA). The current practice location address for Minkyu Kim is 2 Rockingham Dr, Tewksbury, MA 01876-4276 and can be reached out via phone at 781-996-9969.
Provider Profile Details
- NPI Number
- 1396638011
- Provider Name
- Minkyu Kim
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2 Rockingham Dr, Tewksbury, MA 01876-4276
- Phone Number
- 781-996-9969
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 2, 2025
- Last Update Date
- July 14, 2026
- Certification Date
- July 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Rockingham Dr
Tewksbury, MA 01876-4276 - City
- Tewksbury
- State
- Massachusetts
- Zip
- 01876-4276
- Phone Number
- 781-996-9969
Provider Business Mailing Address Details
- Address
- 2 Rockingham Dr
Tewksbury, MA 01876-4276 - City
- Tewksbury
- State
- MA
- Zip
- 01876-4276
- Phone Number
- 781-996-9969
License Information
- License Number
- DN10001402
- License State
- MA
- Taxonomy
- 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 Minkyu Kim, DDS?
The NPI number of Minkyu Kim, DDS is 1396638011. It was assigned on June 2, 2025 and is currently active in the NPPES registry.
What is the specialty of Minkyu Kim, DDS?
Minkyu Kim, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN10001402.
Where does Minkyu Kim, DDS practice?
The practice location is 2 Rockingham Dr, Tewksbury, MA 01876-4276. The office can be reached at 781-996-9969 (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 1396638011 directly on the NPPES registry website.