Active NPIIndividual provider

Dr. DO Yoon Kim, MD, DDS

Dentist, Oral and Maxillofacial Surgery in Springfield, New Jersey

NPI Number1396980611
Practice location
901 Mountain Ave # Sc13, Springfield, NJ 07081-3414
Fax
—
Last updated
August 11, 2024

DO Yoon Kim is a Dentist, Oral and Maxillofacial Surgery based in Springfield, NJ. DO Yoon Kim practices in Springfield, NJ and has the professional credentials of MD, DDS. The NPI Number for DO Yoon Kim is 1396980611 and holds a License No. 061438 (NY). The current practice location address for DO Yoon Kim is 901 Mountain Ave # Sc13, Springfield, NJ 07081-3414 and can be reached out via phone at 973-315-7830.

Provider Profile Details

NPI Number
1396980611
Provider Name
DO Yoon Kim
Credential
MD, DDS
Provider Entity Type
Individual
Gender
Male
Address
901 Mountain Ave # Sc13, Springfield, NJ 07081-3414
Phone Number
973-315-7830
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2008
Last Update Date
August 11, 2024
Certification Date
August 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
901 Mountain Ave # Sc13
Springfield, NJ 07081-3414
Zip
07081-3414
Phone Number
973-315-7830
Springfield, NJ 07081Get directions →

Provider Business Mailing Address Details

Address
2100 Linwood Ave Apt 12T
Fort Lee, NJ 07024-3157
City
Fort Lee
State
NJ
Zip
07024-3157
Phone Number
917-673-9491

License Information

License Number (1)
061438
License State (1)
NY
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
10326
License State (2)
CT
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (3)
307534
License State (3)
NY
Taxonomy (3)
Oral & Maxillofacial Surgery · 204E00000X
License Number (4)
22DI02391200
License State (4)
NJ
Taxonomy (4)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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. DO Yoon Kim, MD, DDS?

The NPI number of Dr. DO Yoon Kim, MD, DDS is 1396980611. It was assigned on December 16, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. DO Yoon Kim, MD, DDS?

Dr. DO Yoon Kim, MD, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NY under license number 061438.

Where does Dr. DO Yoon Kim, MD, DDS practice?

The practice location is 901 Mountain Ave # Sc13, Springfield, NJ 07081-3414. The office can be reached at 973-315-7830 (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 1396980611 directly on the NPPES registry website.

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